279 results
Diagnosis and Management of Hypernatremia

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

** GrepMed Recommended Text: Nephrology Secrets -
Diagnosis and Management ... of Hypernatremia ... #Hypernatremia ... Algorithm #Causes #Nephrology ... Recommended Text: Nephrology
Hypernatremia Classification and Features According to Volume Status
 - Hypervolemic hypernatremia - Cushing's syndrome, Primary hyperaldosteronism,
Hypernatremia Classification ... According to Volume Status ... - Hypervolemic hypernatremia ... Gestational DI, Nephrogenic ... Comparison #Table #Nephrology
Diagnosis and Management of Hyponatremia

#Hyponatremia #Algorithm #Differential #Diagnosis #Management #Nephrology

** GrepMed Recommended Text: Nephrology Secrets -
Diagnosis and Management ... of Hyponatremia ... #Hyponatremia ... #Nephrology ... Recommended Text: Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... mechanism 2) Volume Status ... Extrarenal Hypernatremia ... insipidus (central or nephrogenic ... Workup #Algorithm #nephrology
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypo-osmolar Hypotonic HypoNatremia ... Assess Volume Status ... Urine Osm #Hyponatremia ... Algorithm #Diagnosis #Nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... Assess volume status ... renal failure #Hypernatremia ... Workup #Algorithm #Nephrology
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... insipidus • Nephrogenic ... administration #Hypernatremia ... Diagnosis #Causes #nephrology
Hypernatremia Management Algorithm
Acute vs Chronic
Calculate Losses
 • Current water Deficit
 • Ongoing Free water Losses
 •
Hypernatremia Management ... Medicine @SCVMCMed #Hypernatremia ... #Management #Algorithm ... #treatment #nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia ... addition) of volume status ... and hypervolemic hyponatremia ... low in euvolemic hyponatremia ... Algorithm #Diagnosis #Nephrology
Hyponatremia Differential Diagnosis Table

 • Step 1: Correct for hyperglycemia. Corrected Na = [(glucose - 100)/
Hyponatremia Differential ... FeNa) • Volume status ... MatthewHoMD #Hyponatremia ... Diagnosis #Table #nephrology