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nephrology differential hyponatremia causes workup chronic dysarthria hypertension hypotonic kidneydisease management physiologic resistant table true uricacid
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... in addition) of volume ... low, uric acid ... and uric acid low ... #Diagnosis #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... mechanism 2) Volume ... • Euvolemic (Low ... #nephrology #sodium
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Algorithm Hypernatremia ... water loss, Serum Sodium ... diuresis (see Polyuria ... mannitol, glucosuria Low ... #Diagnosis #Algorithm
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Volume Based Approach ... to Hyponatremia ... Hypothyroidism, Low ... algorithm #diagnosis ... #sodium #low #nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Diagnosis Algorithm ... Hypovolemic - Give volume ... always exclude: CKD ... #Algorithm #diagnosis ... #nephrology #sodium
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... Repeat the sodium ... Assess volume status ... #Diagnosis #Workup ... #Algorithm #Nephrology
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
- Differential Diagnosis ... polydipsia") • Large volume ... • Central Dl (Low ... injury, Tumor • Nephrogenic ... #Causes #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Uric Acid - Low ... #Algorithm #nephrology ... #sodium #low #uricacid
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
Polyuria - Differential ... Diagnosis Algorithm ... Insipidus • Nephrogenic ... load #Polyuria ... #nephrology
Polyuria - Differential Diagnosis Algorithm Polyuria = >3L Urine output / 24 hours Urine osmolality = 2 (Na
Diagnosis Algorithm ... Polyuria = >3L ... nutrition), Azotemia LOW ... #Differential #Diagnosis ... #Algorithm #nephrology
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