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diagnosis nephrology hyponatremia sodium differential management endocrinology 1 3 activation causes di evaluation hematology hyperkalemia hyperthyroid hypotonic insipidus interpretation k
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
and Workup Step ... Step 2. ... • SIADH • hypothyroidism ... #Diagnosis #Workup ... #Algorithm #Nephrology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... • Low TSH, Low ... • Low TSH, normal ... : Work-up similar ... #algorithm #diagnosis
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... renal mechanism 2) ... • Euvolemic (Low ... Diuretics, osmotic (solute
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... (low TSH, High T4 ... ) - Diagnostic Algorithm ... Check pregnancy test ... #Hyperthyroidism
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Diabetes Insipidus Workup ... history Step #2 ... & desmopressin test
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Beer Potomania - Low ... • Euvolemic - Hypothyroidism ... thecurbsiders #Hyponatremia
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... Medications (diuretics), Hypothyroidism ... Primary polydipsia, Low ... solute intake, ... #Algorithm #diagnosis
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Based Approach to Hyponatremia ... acid <4 • SIADH, Hypothyroidism ... , Low solute intake ... #algorithm #diagnosis ... #sodium #low #nephrology
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Hyponatremia - Diagnostic ... Evaluation Algorithm ... elevated Step 2: ... Consider additional tests ... #Diagnosis #Workup
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... normal volume-based algorithm ... can be high or low ... Uosm), Hypothyroidism ... Primary polydipsia), Low
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