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Diagnosis and Management of Hypernatremia

#Hypernatremia #Differential #Algorithm #Causes #Nephrology #Diagnosis

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Diagnosis and Management ... of Hypernatremia ... #Hypernatremia ... Differential #Algorithm #Causes ... #Nephrology #Diagnosis
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... @NephroMD #hyponatremia ... #diagnosis #differential ... #algorithm #causes ... #nephrology
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential Diagnosis ... administration #Hypernatremia ... #Differential #Diagnosis ... #Causes #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential Diagnosis ... #Nephrology #Differential ... #Diagnosis #Algorithm ... #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential Diagnosis ... #Nephrology #Differential ... #Diagnosis #Algorithm ... #Causes
Comparison of Causes of Salt-Wasting in Infancy
 - PHA 1
 - PHA 3
 - 21-OH CAH
Comparison of Causes ... Wasting #Infancy #Comparison ... #Causes #differential ... #diagnosis #pediatrics ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... #Differential #Diagnosis ... #Algorithm #causes ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... treat underlying cause ... UnremarkableLab #Hyponatremia ... #nephrology #sodium
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... - Differential Diagnosis ... #Nephrology #Differential ... #Diagnosis #Algorithm ... #Causes
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Pathophysiology #diagnosis ... #nephrology #hyponatremia ... #comparison