Lower differential workup neurology hyponatremia syndrome hypernatremia low table causes diuretics

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Classification, Differential Diagnosis, and Features of Hyponatremia According to Volume Status

Hypervolemic hypernatremia
- CHF

and Features of Hyponatremia ... - Nephrotic syndrome ... - Diuretics ... #Diagnosis #Table ... #Causes

Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
> 600 mOsm/kg - Implies extrarenal mechanism

Hypernatremia - ... Extrarenal Hypernatremia ... • Euvolemic (Low ... Ingestion Renal Hypernatremia ... MatthewHoMD #Hypernatremia

Hypernatremia Classification and Features According to Volume Status
- Hypervolemic hypernatremia - Cushing's syndrome, Primary hyperaldosteronism,

Hypernatremia Classification ... - Hypervolemic hypernatremia ... - Cushing's syndrome ... Diagnosis #Comparison #Table ... #Nephrology

Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2. Check plasma osmolality.
NORMAL PLASMA

Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... volume loss - diuretics ... • nephrotic syndrome ... renal failure #Hypernatremia

Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
• Lack of access to water
Extrarenal hypotonic fluid

Causes of Hypernatremia ... - Differential ... administration #Hypernatremia ... #Differential # ... #nephrology #sodium

Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to

Causes of Hyponatremia ... - Differential ... especially thiazide diuretics ... osmole intake #Hyponatremia ... #Nephrology #Differential

Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20:
• Renal losses, Diuretic excess,

Causes of Hyponatremia ... - Differential ... Renal losses, Diuretic ... Cardiac failure #Hyponatremia ... #nephrology

Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the

Approach to Hypotonic Hyponatremia ... of hypotonic hyponatremia ... Physiologic #Hypotonic #Hyponatremia ... #differential # ... diagnosis #table

Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia:
• ADH ON (UOsm > 100):

Modified Hyponatremia ... Algorithm Hypertonic Hyponatremia ... Cirrhosis, Nephrotic syndrome ... , Medications (diuretics ... Primary polydipsia, Low

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