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differential sodium hypokalemia metabolic potassium acute aki chloride endocrinology hypernatremia hypophosphatemia table urinary adrenal cushings diuresis diuretics excretion framework hematology
Diagnostic Approach to Hyponatremia Box A: • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose • Pseudohyponatremia:
Somnolence, Seizures, Confusion ... Box C: Primary ... Polydipsia, Low ... #Diagnosis #Algorithm ... #workup
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Vasopressin-independent - Consider: Primary ... polydipsia, Low ... #algorithm #causes ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic ... Alkalosis - Differential ... Diagnosis Algorithm ... #Algorithm #Nephrology ... #Causes
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... Alkalosis - Differential ... Diagnosis Algorithm ... #Metabolic #Alkalosis ... #Algorithm #nephrology
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Metabolic alkalosis ... Primary hyperaldo ... #Diagnosis #Causes ... #Workup #Nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Diagnosis Algorithm ... Solute Intake - Primary ... , CNS Disease, Meds ... #Algorithm #diagnosis ... #nephrology #sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... (UOsm < 100): Primary ... polydipsia, Low ... #Algorithm #diagnosis ... #sodium #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Algorithm Once ... filling of bucket (low ... all the time (urinary ... #Algorithm #Causes ... #workup #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... - Differential Diagnosis ... and metabolic alkalosis ... #Algorithm #Causes ... #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... • Euvolemic (Low ... #Workup #Algorithm ... #nephrology #sodium
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