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nephrology algorithm causes hyponatremia table low treatment alkalosis chloride diuresis high hypokalemia hypotonic medications metabolic pathophysiology pharmacology physiologic rhabdomyolysis syndrome
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential ... Diagnosis Inadequate ... perspiration Renal ... #nephrology #sodium
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Urea/uric acid excretion ... High Uric Acid → renal ... #nephrology #sodium
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... mOsm/kg - Implies renal ... #Differential # ... #Algorithm #nephrology ... #sodium
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... - Differential ... Diagnosis Algorithm ... losses, Diuretic ... #Causes #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
≥100): SIADH, Renal ... Sodium loss (diuretics ... #differential # ... diagnosis #table ... #sodium #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... GI losses • Renal ... especially thiazide diuretics ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... GI losses • Renal ... especially thiazide diuretics ... #Nephrology #Differential
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... Torsemide) • Acute pulmonary ... Renal #Excretion ... #Diuresis #Nephrology
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... hemorrhage) - Pulmonary ... Suppressed - Advanced renal ... #Causes #Sodium
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
loop or thiazide diuretics ... pressure: Active diuretic ... Bartter syndrome, Gitelman ... #differential # ... diagnosis
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