10 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... DrEricStrong #Hypernatremia ... #Sodium #nephrology ... #insipidus #DI
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential ... • Nephrogenic ... administration #Hypernatremia ... Diagnosis #Causes #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... Extrarenal Hypernatremia ... Ingestion Renal Hypernatremia ... Euvolemic: Diabetes insipidus ... MatthewHoMD #Hypernatremia
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Hypernatremia - ... and Treatment Hypernatremia ... Treatment of hypernatremia ... correction of chronic hypernatremia ... @EmmGeezee #Hypernatremia
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... Hypernatremia ... kg • Diabetes Insipidus ... Hyperventilation #Hypernatremia ... #Nephrology #Differential
Two-step Copeptin algorithm for differential diagnosis of Diabetes Insipidus (DI)

Baseline Copeptin < 21.4 pmol/L:
 • Arginine-stimulated
Two-step Copeptin algorithm ... for differential ... prior thirsting) → Nephrogenic ... Insipidus #DI #algorithm ... #copeptin #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... , CNS Disease, Meds ... UnremarkableLab #Hyponatremia ... #diagnosis #nephrology
Oncologic Emergencies - Differential Diagnosis Framework

HEMATOLOGIC ONCOLOGIC EMERGENCIES:
Hyperviscosity Syndrome:
 • Spontaneous bleeding
 • Shortness of breath
Emergencies - Differential ... of breath • Neurologic ... • Early death Neutropenic ... coma SIADH: • Hyponatremia ... #diagnosis #cancer
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 • 6-20% of patients with psychiatric disorders - Most commonly
• Symptomatic hyponatremia ... with symptomatic hyponatremia ... hypothalamic thirst center ... Differential Diagnosis ... : Diabetes Insipidus
Hyponatremia Differential Diagnosis Algorithm in Cancer
UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Hyponatremia Differential ... Diagnosis Algorithm ... in Cancer UOsm ... metastases) #Hyponatremia ... #algorithm #nephrology