46 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
and Workup Step ... Assess volume status ... HYPERVOLEMIC • CHF • liver ... #Diagnosis #Workup ... #Algorithm #Nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diabetes Insipidus Workup ... history Step #2 - Assess ... DrEricStrong #Hypernatremia ... Algorithm #Sodium #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... - Differential ... • Decreased level ... consciousness • No access ... #Nephrology #Differential
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... thirst, Lack of access ... #Differential # ... #Algorithm #nephrology
Causes of Altered Level of Consciousness GCS < 7 - Differential Diagnosis Algorithm

Brain Involvement - Hemispheric
Causes of Altered Level ... Consciousness GCS < 7 - Differential ... • Neoplastic Abscess ... • Neoplastic Abscess ... deficiency • Hyponatremia
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypo-osmolar Hypotonic HypoNatremia ... 275 mosm/kg) Assess ... Urine Osm #Hyponatremia ... Algorithm #Diagnosis #Nephrology ... #Differential #
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
of Seizures - Differential ... Encephalitis, Brain Abscess ... Hyperglycemia, Hyponatremia ... Hypoxia, Uremia, Liver ... Algorithm #Causes #neurology
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential ... intake: • Lack of access ... #Differential # ... Diagnosis #Causes #nephrology
Liver Abscess - Differential Diagnosis
Pyogenic:
 • Hepatobiliary
 • Colonic
 • Bacteremia
Entamoeba histolytica:
 • Fecal/oral
 • Colitis
Liver Abscess - ... Differential Diagnosis ... Stool O+P, PCR, serology ... Darcy_ID_doc #Liver ... #Abscess #Differential
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Heart failure, liver ... thecurbsiders #Hyponatremia ... #Differential # ... Algorithm #causes #nephrology