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Classification, Differential Diagnosis, and Features of Hyponatremia According to Volume Status 

Hypervolemic hypernatremia 
 - CHF
Classification, Differential ... Diagnosis, and ... - Nephrotic syndrome ... - Acute and ... #Diagnosis #Table
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... - Cirrhosis Syndrome ... - Malignancy (e.g ... pathology (e.g. ... Diagnosis #Table
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Syndrome of Inappropriate ... • Drugs • Pulmonary ... • Nephrotic syndrome ... Uosm < 100 mmol/kg ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Syndrome of Inappropriate ... • Drugs • Pulmonary ... • Nephrotic syndrome ... Uosm < 100 mmol/kg ... #Nephrology #Differential
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
polyneuropathy (e.g ... Guillain-Barré syndrome ... Hyperthyroidism, Serotonin syndrome ... #diagnosis #table ... #neurology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Diagnosis HEMODYNAMIC ... vasoconstriction (e.g ... inhibitors, hepatorenal syndrome ... AIN) • Drugs (e.g ... #Diagnosis #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
- Differential ... Cerebral salt wasting syndrome ... Stress, Drugs, Syndrome ... UNa > 20: • Acute ... • Nephrotic syndrome
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
- Syncope Syndromes ... mchlwng #Syncope #Syndromes ... #ECG #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
hyperbilirubinemia, Gilbert syndrome ... Crigler-Najjar syndrome ... Hereditary Cholestatic Syndromes ... Dubin-Johnson syndrome ... , Rotor syndrome
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... #Differential # ... #Algorithm #nephrology