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diagnosis hyponatremia differential management algorithm treatment comparison hypernatremia siadh causes classification hyperkalemia pathophysiology potassium workup aids ascites associated binders cerebral
Hyponatremia Differential Diagnosis Table • Step 1: Correct for hyperglycemia. Corrected Na = [(glucose - 100)/
Differential Diagnosis Table ... Na (FeNa) • Volume ... Differential #Diagnosis #Table ... #nephrology #sodium
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
in addition) of volume ... examination, check urine sodium ... acid: - Urine sodium ... hyponatremia - Urine sodium ... Algorithm #Diagnosis #Nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Neurological event 2) Sodium ... → Subclinical volume ... Increased urine volume ... Pathophysiology #diagnosis #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
than the normal volume-based ... poor response to volume ... : SIADH, Renal Sodium ... differential #diagnosis #table ... #sodium #nephrology
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Repeat the sodium ... Assess volume status ... • extra-renal volume ... fevers • renal volume ... Workup #Algorithm #Nephrology
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Effective Circulating Volume ... ”) - Volume depletion ... Differential #Diagnosis #Table ... #Causes #Sodium
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Volume Based Approach ... SatyaPatelMD #Volume ... algorithm #diagnosis #sodium ... #low #nephrology
Inherited Defects in Kidney Tubule Epithelial Cells Renal glucosuria - Na+-dependent glucose cotransporter Cystinuria - Amino acid transporter Bartter
cell epithelial sodium ... of epithelial sodium ... Defects #Kidney #Nephrology ... #Differential #Table
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hypovolemic - Give volume ... Algorithm #diagnosis #nephrology ... #sodium
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
administered • Can cause volume ... promoting passive sodium ... bacteria in the colon ... #hyponatremia #nephrology
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