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diagnosis differential nephrology cancer diuresis diuretics emergencies endocrinology excretion high hypotonic insufficiency low management medications oncologic oncology pharmacology physiologic renal
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... perspiration Renal ... insipidus • Nephrogenic ... administration #Hypernatremia ... #nephrology #sodium
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... Extrarenal Hypernatremia ... Hypernatremia: ... MatthewHoMD #Hypernatremia ... #nephrology #sodium
Etiologies of Hypernatremia - Differential Diagnosis GI losses / Insensible losses Sodium Overload Transcellular Movement of Water Central Diabetes Insipidus
Etiologies of Hypernatremia ... Insensible losses Sodium ... DrEricStrong #Hypernatremia ... Differential #Diagnosis #Table ... #Causes
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Hyponatremia - Differential ... Hypothyroidism - Adrenal ... DrEricStrong #Hyponatremia ... Differential #Diagnosis #Table ... #Causes #Sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... of hypotonic hyponatremia ... normal volume-based algorithm ... Hypothyroidism, Adrenal ... Physiologic #Hypotonic #Hyponatremia
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 ... Differential #Diagnosis #Algorithm
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Hyponatremia: Hyperlipidemia ... TURP Hypotonic Hyponatremia ... #diagnosis #causes ... #nephrology #sodium
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... SIADH — look for cause ... Wilkinsonjonny #Hyponatremia ... #Management #algorithm ... #treatment #sodium
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
nephrotic syndrome • Hyponatremia ... Kidney stones caused ... Lithium-induced nephrogenic ... and euvolemic hyponatremia ... #Medications #Table
Oncologic Emergencies - Differential Diagnosis Framework HEMATOLOGIC ONCOLOGIC EMERGENCIES: Hyperviscosity Syndrome: • Spontaneous bleeding • Shortness of breath
• Early death Neutropenic ... • Dyspnea at rest ... Hyperuricemia • Acute renal ... coma SIADH: • Hyponatremia ... • Nausea, vomiting
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