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differential hypokalemia sodium alkalosis metabolic acute aki hypernatremia adrenal chloride endocrinology hematology hyperkalemia hypomagnesemia hypophosphatemia hypotonic injury insufficiency k kidney
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 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
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
- Differential Diagnosis ... secreting tumor, Primary ... #Algorithm #causes ... #potassium #low ... #nephrology
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
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential Diagnosis ... Algorithm Hypertensive ... R - Primary aldosteronism ... #Algorithm #nephrology ... #causes #low #potassium
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
- Differential Diagnosis ... Algorithm Defining ... #differential #diagnosis ... #algorithm #causes ... #nephrology #potassium
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
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... suppression • Primary ... #Nephrology #Differential ... #Diagnosis #Algorithm ... #Causes
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