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nephrology differential low adh comparison ebv hypernatremia hypotonic hypovolemia lazy management osmolality pathophysiology physiologic potomania raas saltwasting table unaa uricacid
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Cerebral Salt Wasting ... Neurological event 2) Sodium ... → Increased urine ... Pathophysiology #diagnosis ... #nephrology #hyponatremia
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Sodium 4) Serum ... Low Uric Acid → SIADH ... #Algorithm #nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Based Approach to Hyponatremia ... Renal losses, Cerebral ... uric acid <4 • SIADH ... #algorithm #diagnosis ... #sodium #low #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... OFF (UNa > 30): SIADH ... Reset osmostat, Cerebral ... #Algorithm #diagnosis ... #sodium #nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Diagnosis Algorithm ... , SSRIs) - SIADH ... exclude: CKD, Thiazides ... #Algorithm #diagnosis ... #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... , Renal Sodium loss ... Insufficiency, Cerebral ... #differential #diagnosis
A lazy man's classification of hyponatremia There are two possible approaches to the diagnosis of hyponatremia: .
osmolality and urinary sodium ... the patient has SIADH ... or cerebral salt ... #Diagnosis #Hyponatremia ... #Algorithm #Differential
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... consequence of cerebral ... Measured urine sodium ... EBV #potomania #SIADH ... #Thiazides #UNAa
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... Diagnosis is primarily ... DI; high dilute urine ... patients at risk for cerebral ... #nephrology #sodium
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