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diagnosis differential nephrology causes sodium potassium endocrinology hyperkalemia intercellularshift management signs symptoms acidosis acute agents bulimianervosa cancer chemotherapy classification complications
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Malignancy True hypovolemia ... GI losses • Renal ... • Reduced GFR, AKI ... Hypothyroidism • Adrenal
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... ≥100): SIADH, Renal ... Hypothyroidism, Adrenal ... Present (Uosm <100): Renal ... Hypervolemia with poor renal
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Malignancy True hypovolemia ... GI losses • Renal ... • Reduced GFR, AKI ... Hypothyroidism • Adrenal
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Extra-renal Losses ... loss (Diarrhea) Renal ... @priti899 #Hypokalemia
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Diagnosis Algorithm ... • Refeeding syndrome ... Medications Renal ... Losses Non-renal ... vomiting) • Low
Hypokalemia Differential Diagnosis Algorithm Low intake • poor oral intake Renal loss • Medication • Hypomagnesemia •
Diagnosis Algorithm ... Low intake ... oral intake Renal ... Nonreabsorbable anions • Renal ... • Bartter's syndrome
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Diagnosis Algorithm ... Beer Potomania - Low ... • Renal Failure ... Hypovolemic - GI losses, renal ... Hypothyroidism, adrenal
Cancer agents and Electrolyte Disorders • Hypocalcemia: Cisplatin from Low Mg, Cetuximab- due to low Mg Axitinib,
Disorders • Hypocalcemia ... Hypomaqnesemia: Cisplatin- renal ... and Panitumumab- renal ... Trastuzumab • Hyponatremia ... : Cisplatin- renal
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... ON (UNa < 30): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... Hypothyroidism, Adrenal ... Primary polydipsia, Low
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Hypovolemia, UNa ... > 20: • Renal ... Bicarbonaturia with renal ... Acute or chronic renal
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