31 results
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
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
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... , Recent TURP Hypotonic ... #diagnosis #causes ... #nephrology #sodium ... #low
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
of hypotonic hyponatremia ... normal volume-based algorithm ... water intake (Primary ... differential #diagnosis ... table #sodium #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... Algorithm Hypernatremia ... 300 mmol/kg • Hypertonic ... mannitol, glucosuria Low ... #Diagnosis #Algorithm
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
Causes of Hypotonic Infant (Floppy Newborn) - Differential Diagnosis Algorithm
Central Nervous System - Decreased LOC, Axial
Causes of Hypotonic ... Algorithm Central ... System - Decreased LOC ... #Algorithm #Causes ... #Peds #Pediatrics
Causes of Polyuria - Differential Diagnosis Algorithm
Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min)
Osmotic
Causes of Polyuria ... Algorithm Polyuria ... Deprivation Test • Primary ... #Polyuria #Nephrology ... #Algorithm #Causes
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