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Classification, Differential Diagnosis, and Features of Hyponatremia According to Volume Status 

Hypervolemic hypernatremia 
 - CHF
Classification, Differential ... and Features of Hyponatremia ... - CHF - Cirrhosis ... Classification #Differential ... Diagnosis #Table #Causes
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential ... insipidus • Nephrogenic ... #Differential # ... #nephrology #sodium
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... - Differential ... water loss, Serum Sodium ... #Nephrology #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 ... Insensible losses Sodium ... #Differential # ... Diagnosis #Table #Causes
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... : > 600 mOsm/kg ... insipidus (central or nephrogenic ... #Differential # ... Algorithm #nephrology #sodium
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... treat underlying cause ... (CHF, cirrhosis ... #Differential # ... diagnosis #nephrology #sodium
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... DrEricStrong #Hyponatremia ... #Differential # ... Diagnosis #Table #Causes ... #Sodium
Hypercalcemia - EKG Findings
Causes of Hypercalcemia 
• Malignancy 
• Milk-alkali syndrome 
• Vitamin D toxicity 
•
Hypercalcemia - EKG ... Findings Causes ... #Differential # ... Causes #Diagnosis ... #Cardiology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... The differential ... Diabetes Insipidus: neurogenic ... patient weight (eg ... management #nephrology #sodium
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... Reduced GFR, AKI/CRF ... Uosm < 100 mmol/kg ... #Nephrology #Differential