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nephrology diagnosis hyponatremia differential low management 1 cancer causes cerebral comparison di hypotonic insipidus oncology pathophysiology physiologic table treatment uricacid
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Neurological event 2) ... Sodium loss from ... tubules 3) Naturiesis ... #Cerebral #SaltWasting ... #hyponatremia #
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Diagnosis Algorithm ... Serum Osmolarity 2) ... Urine Osmolarity 3) ... Low Uric Acid → SIADH ... #nephrology #sodium
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Repeat the sodium ... Step 2. ... administration Step 3. ... EUVOLEMIC • SIADH ... Diagnosis #Workup #Algorithm
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... ON (UNa < 30): Hypovolemia ... OFF (UNa > 30): SIADH ... #Algorithm #diagnosis ... #sodium #nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... history Step #2 ... Uglucose Step #3 ... #Sodium #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... restriction alone in SIADH ... , Renal Sodium loss ... Present (Uosm ≥100): Hypovolemia ... #nephrology
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... : • Hypovolemia ... • Euvolemia: SIADH ... diagnosis #causes #nephrology ... #sodium #low
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Basically anything 2. ... hospitalization) 3. ... promoting passive sodium ... the serum Na+ in 2- ... #Management #hyponatremia
Hyponatremia Diagnostic Algorithm 1) Check serum osmolality 2) Check urine osmolality 3) ADH Dependent - Check volume status, urine
Algorithm 1) Check ... serum osmolality 2) ... urine osmolality 3) ... status, urine sodium ... #nephrology
Hyponatremia Differential Diagnosis Algorithm in Cancer UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Hyponatremia Differential ... Diagnosis Algorithm ... appropriate • Hypovolemia ... CAR-T- and IL-2- ... inappropriate • SIAD
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