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Diagnosis and Management of Hypernatremia

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

** GrepMed Recommended Text: Nephrology Secrets -
Diagnosis and Management ... of Hypernatremia ... #Hypernatremia ... Differential #Algorithm #Causes ... GrepMed Recommended Text
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential Diagnosis ... insipidus • Nephrogenic ... #Differential #Diagnosis ... #Causes #nephrology
Hypernatremia Classification and Features According to Volume Status
 - Hypervolemic hypernatremia - Cushing's syndrome, Primary hyperaldosteronism,
- DI, Central Dl ... , Partial DI, Gestational ... DI, Nephrogenic ... DI, Hypodipsia ... Classification #Features #Diagnosis
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... & desmopressin test ... DrEricStrong #Hypernatremia ... nephrology #insipidus #DI
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... Diagnosis is primarily ... urine osm (in DI ... Diabetes Insipidus: neurogenic ... , nephrogenic 4
Causes of Altered Level of Consciousness GCS < 7 - Differential Diagnosis Algorithm

Brain Involvement - Hemispheric
Causes of Altered ... - Differential Diagnosis ... Vasculitis • TTP • DIC ... #Differential #Diagnosis ... #Algorithm #Causes
Etiologies of Hypernatremia - Differential Diagnosis
GI losses / Insensible losses
Sodium Overload
Transcellular Movement of Water
Central Diabetes Insipidus
Etiologies of Hypernatremia ... - Differential Diagnosis ... congenital disorders Nephrogenic ... #Differential #Diagnosis ... #Table #Causes
Rotator Cuff Syndrome - SITS
Supraspinatus, Infraspinatus, Teres minor, and Subscapularis.
Causes: Calcific supraspinatus tendinitis 
Signs: painful abduction
Causes: Calcific ... arm, empty can test ... Cuff #Syndrome #orthopedics ... #diagnosis #sports
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... Consider additional tests ... considered likely, the cause ... DrEricStrong #Hyponatremia ... #Diagnosis #Workup
Polyuria - Differential Diagnosis
Solute Diuresis
 • Na intake/saline
 • Glucosuria: Hyperglycemia, SGLT-2 inhibitors
 • Urea: Exogenous
- Differential Diagnosis ... Polydipsia • Central DI ... , Nephrogenic D ... #Differential #Diagnosis ... #Causes