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diagnosis differential causes acute workup hypernatremia kidneyinjury low hypotonic injury physiologic table
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine ... : SIADH, Renal Sodium ... failure, Cirrhosis, Nephrotic ... syndrome) • ADH ... #nephrology
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Repeat the sodium ... liver failure • nephrotic ... syndrome • renal ... Diagnosis #Workup #Algorithm ... #Nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
to Hyponatremia ... failure, Cirrhosis, Nephrotic ... syndrome • Urine ... algorithm #diagnosis ... #sodium #low #nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Diagnosis Algorithm ... CHF, cirrhosis, nephrotic ... syndrome) Euvolemic ... #diagnosis #nephrology ... #sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... failure, Cirrhosis, Nephrotic ... syndrome - ... polydipsia, Low solute ... #sodium #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Syndrome of Inappropriate ... Cirrhosis • Nephrotic ... GFR, AKI/CRF Hormonal ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Syndrome of Inappropriate ... Cirrhosis • Nephrotic ... GFR, AKI/CRF Hormonal ... #Nephrology #Differential
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... liver failure, nephrotic ... syndrome ... #causes #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... mechanism 2) Volume ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... #nephrology #sodium
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
causes of Acute Kidney ... congestion • Volume ... inhibitors, hepatorenal syndrome ... Acute Interstitial Nephritis ... Differential #Diagnosis #nephrology
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