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differential nephrology causes low table insufficiency workup aloc altered comatose cosyntropin ddxof euvolemic high hypervolemic hypotonic hypovolemic im management nephro
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... HYPOVOLEMIC • extra-renal ... - fevers • renal ... failure #Hypernatremia
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Osmolarity 3) Urine Sodium ... High Uric Acid → renal ... Rachel Stern MD #Hyponatremia
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... mOsm/kg - Implies renal ... Extrarenal Hypernatremia ... , Ingestion Renal ... Hypernatremia:
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia ... Hyponatremia: Hyperglycemia ... Hypothyroidism, Adrenal ... #Algorithm #diagnosis ... #sodium #nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Based Approach to Hyponatremia ... Na <20: Extra-renal ... Urine Na >30: Renal ... SatyaPatelMD #Volume #Hyponatremia ... #algorithm #diagnosis
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... • Renal Failure ... Hypovolemic - GI losses, renal ... thecurbsiders #Hyponatremia
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... case of hypotonic hyponatremia ... ≥100): SIADH, Renal ... Present (Uosm <100): Renal ... Physiologic #Hypotonic #Hyponatremia
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
Evaluation of Hyponatremia ... cardiac, liver, renal ... #EM #IM #Nephro ... #Hyponatremia # ... #Differential #Algorithm
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential Diagnosis ... perspiration Renal ... administration #Hypernatremia ... Causes #nephrology #sodium
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Hyponatremia: Hyperlipidemia ... Syndrome, Chronic Renal ... MH/CCF/CWRU EM ... #diagnosis #causes
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