13 results
Diagnosis and Management of Hypernatremia

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

** GrepMed Recommended Text: Nephrology Secrets -
Management of Hypernatremia ... #Hypernatremia ... #Differential #Algorithm ... #Causes #Nephrology ... GrepMed Recommended Text
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... Osmotic diuresis • Central ... insipidus • Nephrogenic ... administration #Hypernatremia ... #nephrology #sodium
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... Extrarenal Hypernatremia ... Ingestion Renal Hypernatremia ... Diabetes insipidus (central ... MatthewHoMD #Hypernatremia
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Test of Skew (Abnormal ... cause of vertigo ... #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... may actually be normal ... Consider additional tests ... considered likely, the cause ... DrEricStrong #Hyponatremia
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Head Impulse Test ... = Central Cause ... cause of vertigo ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... with a peripheral cause ... cause of AVS. ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypotension, hyponatremia ... ACTH) stimulation test ... insufficiency • Low or normal
Causes of Polyuria - Differential Diagnosis Algorithm
Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min)
Osmotic
Causes of Polyuria ... Differential Diagnosis Algorithm ... response • Central ... #Polyuria #Nephrology ... #Causes
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... time you have a case ... of hypotonic hyponatremia ... volume-based algorithm ... Physiologic #Hypotonic #Hyponatremia