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diagnosis differential nephrology hyponatremia causes low hypernatremia acidosis blood classification criticalcare elevated evaluation hematuria hypertension hypomagnesemia hypomg hypotonic injury lactate
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Diagnosis and Workup ... Repeat the sodium ... hypothyroidism • adrenal ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Osmolarity 3) Urine Sodium ... High Uric Acid → renal ... salt wasting By ... #nephrology #sodium
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
and Screening Testing ... Oral sodium loading ... CT scan, adrenal ... Causes #Screening #Workup ... #table
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Sodium loss (diuretics ... Cerebral Salt Wasting ... differential #diagnosis #table ... #sodium #nephrology
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Cerebral salt wasting ... Hypothyroidism - Adrenal ... Suppressed - Advanced renal ... Differential #Diagnosis #Table ... #Causes #Sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Hypothyroidism, Adrenal ... Cerebral salt wasting ... #Hyponatremia #Algorithm ... #diagnosis #sodium
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... Differential #Diagnosis #Workup ... #Algorithm #nephrology ... #sodium
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... mimics, repeat testing ... Nephrology for renal ... #Workup #urology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Na <20: Extra-renal ... Urine Na >30: Renal ... Cerebral salt wasting ... #Hyponatremia #algorithm ... #diagnosis #sodium
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
diarrhea / IBD Renal ... - Familial renal ... Mg wasting syndromes ... Low #Magnesium #Table ... Classification #Causes #Workup
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