Diagnosis peds syndrome table neurology nephrology renal acidosis hyponatremia classification posterior workup algorithm

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Hypernatremia Diagnosis and Workup

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

Hypernatremia Diagnosis ... and Workup Step ... • nephrotic syndrome ... #Diagnosis #Workup ... #Algorithm #Nephrology

Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20:
• Renal losses, Diuretic excess,

Causes of Hyponatremia ... - Differential Diagnosis ... Algorithm Hypovolemia ... tubal acidosis ... #nephrology

Hypernatremia - Differential Diagnosis Workup Algorithm

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

Differential Diagnosis ... Workup Algorithm ... mOsm/kg - Implies renal ... #Workup #Algorithm ... #nephrology #sodium

Hypernatremia Classification and Features According to Volume Status
- Hypervolemic hypernatremia - Cushing's syndrome, Primary hyperaldosteronism,

Hypernatremia Classification ... - Cushing's syndrome ... Hypodipsia - Renal ... #Comparison #Table ... #Nephrology

Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
• Normal Acid-Base: Low intake
• Metabolic acidosis: Gl tract

- Differential Diagnosis ... Algorithm Extra-renal ... • Metabolic acidosis ... loss (Diarrhea) Renal ... potassium #low #nephrology

Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to

Algorithm Syndrome ... Pain/Post-op • Neurologic ... GI losses • Renal ... #Nephrology #Differential ... #Diagnosis #Algorithm

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

Hyponatremia - Differential ... Diagnosis Algorithm ... Tea and Toast Syndrome ... • Renal Failure ... #nephrology

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

Based Approach to Hyponatremia ... Cirrhosis, Nephrotic syndrome ... SatyaPatelMD #Volume #Hyponatremia ... #algorithm #diagnosis ... #sodium #low #nephrology

Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin

- Differential Diagnosis ... Rhabdomyolysis, Tumor lysis syndrome ... Shift: • Lactic acidosis ... CKD Increased Renal ... #phosphate #nephrology

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