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diagnosis differential nephrology hyponatremia management algorithm classification criticalcare overview rhabdomyolysis shock treatment acute diuretics excretion heatstroke hypotonic illness injury kidney
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... , Post-AKI diuresis ... renal perfusion (Heart ... Cirrhosis, Nephrotic syndrome ... differential #diagnosis #table
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Hyponatremia ... • Nephrogenic ... Kidney stones caused ... and euvolemic hyponatremia ... #Medications #Table
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Diagnosis Algorithm Syndrome ... especially thiazide diuretics ... • Congestive heart ... • Reduced GFR, AKI
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Diagnosis Algorithm Syndrome ... especially thiazide diuretics ... • Congestive heart ... • Reduced GFR, AKI
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Dehydration • Heart ... a.k.a. cardiorenal syndrome ... tubular necrosis (causes ... : sepsis, meds, ... obstruction) • Neurogenic
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Hyponatremia - Differential ... depletion - Heart ... - Cirrhosis Syndrome ... Differential #Diagnosis #Table ... #Causes #Sodium
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
Dehydration - Loss of sodium ... conditions - Neurogenic ... illness → Hypernatremia ... Rhabdomyolysis - AKI ... tissue damage (AKI
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... declines > ALT) • AKI ... Hyperuricemia • Hyponatremia ... + myoglobin AKI ... Loop diuretics for
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
iniury, Compartment syndrome ... Dermatomyositis) AKI ... per day until stable ... Loop diuretics for ... Management #Summary #causes
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
• Hypovolemia: Diuretics ... Hypervolemia: Congestive Heart ... Cirrhosis, Nephrotic Syndrome ... Algorithm #diagnosis #causes ... #nephrology #sodium
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