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differential nephrology low causes hypernatremia workup ddxof euvolemic gout hyperuricemia hypervolemic hypotonic hypovolemic im management nephro physiologic pseudohyponatremia table treatment
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 ... #sodium #low #uricacid
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... Repeat the sodium ... HYPOVOLEMIC • extra-renal ... - fevers • renal ... nephrotic syndrome • renal
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Na <20: Extra-renal ... Urine Na >30: Renal ... Urine Na > 30: Renal ... #algorithm #diagnosis ... #sodium #low #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... ≥100): SIADH, Renal ... Hypothyroidism, Adrenal ... Present (Uosm <100): Renal ... Hypervolemia with poor renal
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... mOsm/kg - Implies renal ... , Ingestion Renal ... #nephrology #sodium
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
Differential Diagnosis ... cardiac, liver, renal ... #EM #IM #Nephro ... #Hyponatremia # ... #Differential #Algorithm
Hyperuricemia - Differential Diagnosis Algorithm Primary - Over-production • Increased turnover of nucleotides Primary
Algorithm Primary ... Diabetic acidosis - Renal ... • Chronic renal ... Alcohol #gout #UricAcid ... #Algorithm #endocrinology
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... Syndrome, Chronic Renal ... MH/CCF/CWRU EM ... #diagnosis #causes ... #nephrology #sodium
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... • Discuss with endocrinology ... considerations: Addison's, Renal ... #Management #algorithm ... #treatment #sodium
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