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diagnosis hyponatremia nephrology differential causes hypernatremia hypotonic low physiologic workup
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine ... poor response to volume ... : SIADH, Renal Sodium ... or low Uosm), Hypothyroidism ... differential #diagnosis #table
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Volume Based Approach ... acid <4 • SIADH, Hypothyroidism ... SatyaPatelMD #Volume ... #Hyponatremia #algorithm ... #diagnosis #sodium
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... Hypovolemic - Give volume ... CKD, Thiazides, Hypothyroidism ... Differential #Diagnosis #Algorithm ... diagnosis #nephrology #sodium
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Repeat the sodium ... Assess volume status ... • extra-renal volume ... • SIADH • hypothyroidism ... Diagnosis #Workup #Algorithm
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Effective Circulating Volume ... ”) - Volume depletion ... Endocrinopathies - Hypothyroidism ... Differential #Diagnosis #Table ... #Causes #Sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Medications (diuretics), Hypothyroidism ... polydipsia, Low solute ... #Hyponatremia #Algorithm ... #diagnosis #sodium
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