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differential nephrology causes low hypernatremia insufficiency table cosyntropin ddxof elevated euvolemic hypervolemic hypophosphatemia hypotonic hypovolemic im injury lowphosphate management myocardial
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... HYPOVOLEMIC • extra-renal ... - fevers • renal ... nephrotic syndrome • renal ... #Diagnosis #Workup
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Workup Algorithm ... mOsm/kg - Implies renal ... mechanism 2) Volume ... , Ingestion Renal ... #Workup #Algorithm
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
algorithm Urine ... ≥100): SIADH, Renal ... Present (Uosm <100): Renal ... Hypervolemia with poor renal ... #differential #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 ... Hypothyroidism, adrenal
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
Differential Diagnosis ... Assessment of volume ... cardiac, liver, renal ... #EM #IM #Nephro ... #Differential #Algorithm
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 ... #Algorithm #nephrology
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... Hypothyroidism - Adrenal ... Suppressed - Advanced renal ... Table #Causes #Sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... Hypothyroidism, Adrenal ... polydipsia, Low solute ... #Algorithm #diagnosis ... #sodium #nephrology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... pain, dizziness, volume ... , hypotension, hyponatremia ... #Algorithm #endocrinology
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