13 results
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
Differential Diagnosis Algorithm ... Malignant • ... Multiple Myeloma Non-Malignant ... Biliary Cirrhosis ... #Causes #Hepatology
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Heart failure, Cirrhosis ... (UOsm < 100): Primary ... #diagnosis #sodium ... #nephrology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Differential Diagnosis Algorithm ... - Hepatic: • Cirrhosis ... cholangitis • Primary ... Protein-rich: • Malignancy ... #Hepatology #causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Differential Diagnosis Algorithm ... pathology • Malignancy ... heart failure • Cirrhosis ... suppression • Primary ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Differential Diagnosis Algorithm ... pathology • Malignancy ... heart failure • Cirrhosis ... suppression • Primary ... #Hyponatremia #Nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... underlying cause (CHF, cirrhosis ... Solute Intake - Primary ... #diagnosis #nephrology ... #sodium
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Glucocorticoid deficiency, Primary ... Heart failure, Cirrhosis ... #Hyponatremia #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 ... : SIADH, Renal Sodium ... Heart failure, Cirrhosis ... water intake (Primary ... #nephrology
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... include pain, primary ... promoting passive sodium ... Contraindicated in cirrhosis ... #hyponatremia #nephrology
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
of SIADH: Pain, Primary ... promoting passive sodium ... Contraindicated in cirrhosis ... SatyaPatelMD #SIADH #Management ... #hyponatremia #nephrology