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diagnosis differential causes hyponatremia hypernatremia management low polyuria insufficiency table treatment workup 1 2 3 cosyntropin defects di diabetes epilepticus
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Differential Diagnosis Algorithm ... - Diabetes Insipidus ... Hypernatremia #Management #Algorithm ... #Sodium #nephrology ... #insipidus #DI
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
Differential Diagnosis Algorithm ... Central Diabetes Insipidus ... Dl • Chronic Renal ... 500 mOsm/kg) • Hyperglycemia ... #causes #nephrology
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
perspiration Renal ... Central diabetes insipidus ... Nephrogenic diabetes insipidus ... Diagnosis #Causes #nephrology ... #sodium #high
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Repeat the sodium ... pseudohyponatremia • hyperglycemia ... hypothyroidism • adrenal ... Diagnosis #Workup #Algorithm ... #Nephrology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... hyperpigmentation, hypoglycemia ... Differential #Diagnosis #Algorithm ... #endocrinology
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Differential Diagnosis Algorithm ... Osmolality • Hyperglycemia ... Recovery from Acute Renal ... Central Diabetes Insipidus ... #Polyuria #Nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Hyponatremia: Hyperglycemia ... Hypothyroidism, Adrenal ... #diagnosis #sodium ... #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... , Ingestion Renal ... Euvolemic: Diabetes insipidus ... Diagnosis #Workup #Algorithm ... #nephrology #sodium
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Diagnosis Algorithm ... Fasting Hypoglycemia ... Hypopituitarism • Adrenal ... Differential #Diagnosis #Algorithm ... #endocrinology
Polyuria - Differential Diagnosis Algorithm Polyuria = >3L Urine output / 24 hours Urine osmolality = 2 (Na
Differential Diagnosis Algorithm ... Solute Diuresis: Hyperglycemia ... kg • Diabetes Insipidus ... Differential #Diagnosis #Algorithm ... #nephrology
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