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diagnosis differential nephrology hyponatremia sodium hepatology workup mass table aloc altered cancer comatose ddxof diuresis diuretics em euvolemic evaluation excretion
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Assess volume status ... HYPOVOLEMIC • ... psychogenic polydipsia HYPERVOLEMIC ... • CHF • liver ... Diagnosis #Workup #Algorithm
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... Diagnosis Workup Algorithm ... : • Hypovolemic ... thirst, Lack of access ... Diagnosis #Workup #Algorithm
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... • Hypervolemic ... Heart failure, liver ... #causes #nephrology
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
Evaluation of Hyponatremia ... symptoms (HA, nausea ... history (cardiac, liver ... #Hypervolemic # ... #Differential #Algorithm
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... Hypovolemic - Give ... volume Hypervolemic ... treat underlying cause
Causes of Altered Level of Consciousness GCS < 7 - Differential Diagnosis Algorithm Brain Involvement - Hemispheric
Causes of Altered ... • Neoplastic Abscess ... • Neoplastic Abscess ... - Excesses • Liver ... #Causes
Causes of Seizures - Differential Diagnosis Algorithm Unprovoked - Epilepsy: • Focal: Simple, Complex • Generalized: Absence,
Causes of Seizures ... Differential Diagnosis Algorithm ... Encephalitis, Brain Abscess ... Hyperglycemia, Hyponatremia ... Hypoxia, Uremia, Liver
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... hormone secretion Hypervolemia ... renal failure Hypervolemia ... #Causes #nephrology
Liver Mass - Differential Diagnosis Algorithm Benign Cystic • Cyst • Polycystic Liver Disease • Caroli's
Liver Mass - Differential ... Diagnosis Algorithm ... • Adenoma • Abscess ... Differential #Diagnosis #Algorithm ... #Causes
Liver Mass - Differential Diagnosis Algorithm Cystic: • Benign - Simple: Simple
Liver Mass - Differential ... Diagnosis Algorithm ... - Infectious: Abscess ... Differential #Diagnosis #Algorithm ... #Causes #Hepatology
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