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diagnosis nephrology differential hyponatremia endocrinology causes hyperkalemia hypernatremia hypertension hyperthyroid hypotonic interpretation k management physiologic potassium screening secondary tfts treatment
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
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
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Medications (diuretics), Hypothyroidism ... Primary polydipsia, Low ... solute intake, ... #diagnosis #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... : SIADH, Renal Sodium ... can be high or low ... Uosm), Hypothyroidism ... differential #diagnosis #table
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Oral sodium loading ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... Causes #Screening #Workup ... #table
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
acid <4 • SIADH, Hypothyroidism ... , Low solute intake ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... • Euvolemic (Low ... Diuretics, osmotic (solute ... #sodium
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... badness): Peak T, flat ... Cortisol+ACTH stim test ... Elimination (see Table ... acidosis) • Low
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