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differential nephrology causes cardiology sodium table criticalcare pharmacology treatment workup checklist foamed heartfailure icu low sarcoidosis symptoms a4c activation admissions
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Hypervolemic - Heart ... #Algorithm #causes ... #nephrology
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... : Hypovolemia, Heart ... failure, Cirrhosis ... #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Congestive heart ... failure • Cirrhosis ... #Diagnosis #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Congestive heart ... failure • Cirrhosis ... #Diagnosis #Algorithm
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... : Hypovolemia, Heart ... failure, Cirrhosis ... #Algorithm #diagnosis ... #sodium #nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Based Approach to Hyponatremia ... Urine Na < 20: Heart ... failure, Cirrhosis ... #algorithm #diagnosis ... #sodium #low #nephrology
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... performed) • Clinical ... Abnormal ECG, echocardiogram ... failure • Elevated ... failure therapy
Sarcoidosis Non-caseating granulomas (Composed of T-helper & inflammatory cells) Clinical: • Disease fatal in 10% of
inflammatory cells) Clinical ... exertion • Neurologic ... • Cardiac: Heart ... failure, dysrhythmias ... #Symptoms #Signs
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... nephrotic syndrome • Hyponatremia ... and euvolemic hyponatremia ... Excretion #Diuresis #Nephrology
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... Hypervolemia: Congestive Heart ... Failure, Liver ... #diagnosis #causes ... #nephrology #sodium
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