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diagnosis differential hypernatremia sodium blood ddxof diuresis em excretion hematuria hypervolemic hypovolemic low medications nephro pharmacology pseudohyponatremia table urine urology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... mOsm/kg - Implies renal ... • Euvolemic: ... #Algorithm #nephrology
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
and Workup Step ... volume loss - diuretics ... EUVOLEMIC • ... #Diagnosis #Workup ... #Algorithm #Nephrology
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
Identification of onset (acute ... , confusion, seizures ... cardiac, liver, renal ... Diagnosis #EM #IM ... #Hypovolemic #Euvolemic
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... losses, Diuretic ... Pancreatitis, Trauma Euvolemia ... UNa > 20: • Acute ... #Causes #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Inappropriate ADH - Euvolemic ... GI losses • Renal ... especially thiazide diuretics ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Inappropriate ADH - Euvolemic ... GI losses • Renal ... especially thiazide diuretics ... #Nephrology #Differential
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Torsemide) • Acute ... Kidney stones caused ... hypervolemic and euvolemic ... #Diuretics #Renal ... #Nephrology #Pharmacology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... repeat testing • Acute ... for renal biopsy ... if cause not identified ... by UW IM Residency
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
• Hypovolemia: Diuretics ... Pancreatitis • Euvolemia ... Syndrome, Chronic Renal ... #diagnosis #causes ... #nephrology #sodium
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