Diagnosis nephrology classification algorithm dermatology kidney syndrome hyponatremia nephrotic sodium hypotonic low chloride

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11 results

Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia:
• ADH ON (UOsm > 100):

Algorithm Hypertonic ... syndrome - ... Primary polydipsia, Low ... #Algorithm #diagnosis ... #sodium #nephrology

Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia:
• Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,

Liver Cirrhosis, Nephrotic ... Syndrome, Chronic ... #diagnosis #causes ... #nephrology #sodium ... #low

Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the

normal volume-based algorithm ... failure, Cirrhosis, Nephrotic ... syndrome) • ADH ... differential #diagnosis ... #nephrology

Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
• Urine Na <20: Extra-renal losses
•

Hypothyroidism, Low ... failure, Cirrhosis, Nephrotic ... syndrome • Urine ... #algorithm #diagnosis ... #sodium #low #nephrology

Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
• Kidney loss of Cl-

Algorithm Cl- ... alkalosis • Normal/low ... , Gitelman syndrome ... #nephrology #differential ... #diagnosis

Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2. Check plasma osmolality.
NORMAL PLASMA

Hypernatremia Diagnosis ... Repeat the sodium ... liver failure • nephrotic ... syndrome • renal ... #Algorithm #Nephrology

Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
• Tea and Toast Syndrome, Beer Potomania - Low solute

Diagnosis Algorithm ... Beer Potomania - Low ... liver failure, nephrotic ... syndrome ... #nephrology

Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High

Algorithm Hypernatremia ... water loss, Serum Sodium ... 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 ... CHF, cirrhosis, nephrotic ... syndrome) Euvolemic ... #Algorithm #diagnosis ... #nephrology #sodium

Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
> 600 mOsm/kg - Implies extrarenal mechanism

Differential Diagnosis ... Workup Algorithm ... • Euvolemic (Low ... , Cushing syndrome ... #nephrology #sodium

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