105 results
Hyponatremia in Hypothyroidism - Pathophysiology

- BWH Medicine Chiefs @BrighamChiefs

#Hyponatremia #Hypothyroidism #Pathophysiology #endocrinology
Hyponatremia in ... Hypothyroidism - ... BrighamChiefs #Hyponatremia ... #Hypothyroidism ... Pathophysiology #endocrinology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... Hormonal changes • Hypothyroidism ... • Adrenal insufficiency ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... Hormonal changes • Hypothyroidism ... • Adrenal insufficiency ... #Nephrology #Differential
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... , hypotension, hyponatremia ... #Differential # ... Diagnosis #Algorithm #endocrinology
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... • Euvolemic - Hypothyroidism ... , adrenal insufficiency ... thecurbsiders #Hyponatremia ... #Differential #
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... • SIADH • hypothyroidism ... • adrenal insufficiency ... renal failure #Hypernatremia
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic Hyponatremia ... irrigants Hypotonic Hyponatremia ... Medications (diuretics), Hypothyroidism ... , Adrenal insufficiency
Thyroid Disorders and Menstrual Cycle Function

Hypothyroidism
 • Polymenorrhea (increased menstrual bleeding) is more common
 • Oligomenorrhea
Cycle Function Hypothyroidism ... miscarriage Hyperthyroidism ... Menstrual #Cycle #Differential ... #Diagnosis #Endocrinology
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Endocrinopathies - Hypothyroidism ... - Adrenal insufficiency ... DrEricStrong #Hyponatremia ... #Differential #
CLINICAL MANIFESTATIONS 
OF ADRENAL INSUFFICIENCY. 

Primary and secondary adrenal insufficiency:
 - Tiredness, weakness, mental depression
CLINICAL MANIFESTATIONS ... OF ADRENAL INSUFFICIENCY ... secondary adrenal insufficiency ... , diarrhea - Hyponatremia ... - Secondary hypothyroidism