17 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
onset (acute vs. chronic ... symptoms (HA, nausea ... volume status (edema ... #EM #IM #Nephro ... #Differential #Algorithm
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Diagnosis Algorithm ... treat underlying cause ... always exclude: CKD ... #Algorithm #diagnosis ... #nephrology #sodium
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Malignancy True hypovolemia ... diuretics) With edema ... • Reduced GFR, AKI ... #Diagnosis #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Malignancy True hypovolemia ... diuretics) With edema ... • Reduced GFR, AKI ... #Diagnosis #Algorithm
Causes of Generalized Edema - Differential Diagnosis Algorithm
Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Causes of Generalized ... Diagnosis Algorithm ... > 40meq/L) • NSAlDs ... • AKI/CKD • ... #Algorithm #Causes
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
Nephrotoxins (NSAlDs ... /CKD - Recent ... on CKD— 13% (mostly ... #Nephrology #Diagnosis ... #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Algorithm Hypovolemia ... : • Acute or chronic ... #Algorithm #Causes ... #nephrology
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm
Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Causes of Chronic ... eosinophiluria) • Drugs (NSAlDs ... Hyperphosphatemia #CKD ... #Nephrology #Differential ... #Diagnosis #Algorithm
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
: • Hypovolemia ... Nephrotic Syndrome, Chronic ... MH/CCF/CWRU EM ... #diagnosis #causes ... #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Present (Uosm ≥100): Hypovolemia ... #differential #diagnosis ... table #sodium #nephrology