5 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Evaluation of Hyponatremia ... history (cardiac, liver ... Diagnosis #EM #IM ... #Hypervolemic # ... #Differential #Algorithm
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
Liver Function Test ... specific for the liver ... Hospital of Baltimore IM ... SinaiBmoreIMRes #Liver ... #FunctionTest #
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... HYPOVOLEMIC • ... psychogenic polydipsia HYPERVOLEMIC ... • CHF • liver ... Diagnosis #Workup #Algorithm
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Dependent: • Hypovolemic ... • Hypervolemic ... Heart failure, liver
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Algorithm Isotonic ... polydipsia • Hypervolemia ... Heart Failure, Liver ... #Differential #Algorithm