11 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... administration Step 3. ... EUVOLEMIC • SIADH ... renal failure #Hypernatremia
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ADH ... ADH Dependent: ... insufficiency, SIADH ... thecurbsiders #Hyponatremia
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Utilizing Uric Acid ADH ... Urine Osmolarity 3) ... Low Uric Acid → SIADH ... Rachel Stern MD #Hyponatremia
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diabetes Insipidus Workup ... Uglucose Step #3 ... DrEricStrong #Hypernatremia ... #insipidus #DI
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... cirrhosis, nephrotic syndrome ... • UOsm > 300 - ADH ... , SSRIs) - SIADH ... UnremarkableLab #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 ... Cirrhosis, Nephrotic syndrome ... Physiologic #Hypotonic #Hyponatremia ... #differential #
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... and Treatment Hyponatremia ... to work through ... Treatment of hyponatremia ... demyelination syndrome
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... asymptomatic to seizures ... urea causes the hyponatremia ... True hyponatremia ... #hyponatremia #ADH
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
hospitalization) 3. ... PO TID • With lower ... vaptans) • Blocks ADH ... #Management #hyponatremia ... #nephrology #treatment
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 • 6-20% of patients with psychiatric disorders - Most commonly
• Symptomatic hyponatremia ... with symptomatic hyponatremia ... diabetes insipidus Differential ... Pseudohyponatremia, SIADH ... intoxication Initial Workup