16 results
Etiologies of Hypernatremia - Differential Diagnosis
GI losses / Insensible losses
Sodium Overload
Transcellular Movement of Water
Central Diabetes Insipidus
Insensible losses Sodium ... sensitivity in kidneys ... Eric Strong https ... Diagnosis #Table ... #Causes
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Workup Step #1 ... history Step #2 ... Eric Strong @DrEricStrong ... Management #Algorithm #Sodium
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
output is a clue). 1) ... , Dehydration: neurologic ... water unavailable 2) ... ([Na] / 140) - 1) ... #sodium
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm 1) ... renal mechanism 2) ... #Differential # ... #sodium
Inherited Defects in Kidney Tubule Epithelial Cells

Renal glucosuria - Na+-dependent glucose cotransporter
Cystinuria - Amino acid transporter
Bartter
Inherited Defects in Kidney ... of epithelial sodium ... #Nephrology #Diagnosis ... #Differential # ... Table
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
1) Is it hypotonic ... 2) Is ADH elevated ... the underlying cause ... #Differential # ... #sodium
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Heat injury, Heat stroke ... Hyperuricemia • Hyponatremia ... nephrotoxicity to kidney ... #treatment #nephrology
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Dehydration - Loss of sodium ... conditions - Neurogenic ... heat illness → Hypernatremia ... involvement: Muscles, Kidneys ... encephalopathy) 2.
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome 1) ... affecting both sides 2) ... - Inability to differentiate ... : Stroke (main cause ... Gerstmann #Syndrome #neurology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... +K / serum Na >1 ... #differential # ... diagnosis #table ... #sodium #nephrology