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Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... EUVOLEMIC • SIADH ... renal failure #Hypernatremia ... Workup #Algorithm #Nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Salt Wasting vs SIADH ... - Pathophysiology ... #Pathophysiology ... #diagnosis #nephrology ... #hyponatremia #
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic Hyponatremia ... Cirrhosis, Nephrotic syndrome ... OFF (UNa > 30): SIADH ... diagnosis #sodium #nephrology
Pathophysiology of hypotonic hyponatremia by Helbert Rondon, MD @NephroMD #hypotonic #hyponatremia #nephrology #algorithm #Pathophysiology
Pathophysiology ... of hypotonic hyponatremia ... #hypotonic #hyponatremia ... #nephrology #algorithm ... #Pathophysiology
Pathophysiology Based Approach to Hyponatremia - Diagnostic Algorithm Not the "classic" Volume based approach. #Hyponatremia #Algorithm #Pathophysiology
Pathophysiology ... Based Approach to Hyponatremia ... #Hyponatremia #Algorithm ... #Pathophysiology ... #Differential #Nephrology
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Tea and Toast Syndrome ... insufficiency, SIADH ... thecurbsiders #Hyponatremia ... Algorithm #causes #nephrology
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Inappropriate - Consider: SIADH ... @NephroMD #hyponatremia ... algorithm #causes #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Low Uric Acid → SIADH ... Rachel Stern MD #Hyponatremia ... Diagnosis #Algorithm #nephrology
Hypernatremia Management Algorithm Acute vs Chronic Calculate Losses • Current water Deficit • Ongoing Free water Losses •
Hypernatremia Management ... Medicine @SCVMCMed #Hypernatremia ... Management #Algorithm #treatment ... #nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Based Approach to Hyponatremia ... uric acid <4 • SIADH ... Cirrhosis, Nephrotic syndrome ... SatyaPatelMD #Volume #Hyponatremia ... #sodium #low #nephrology
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