Neurogenic hypernatremia neurology reflex algorithm diagnosis low hyponatremia causes syndrome

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Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
> 600 mOsm/kg - Implies extrarenal mechanism

Hypernatremia - ... Extrarenal Hypernatremia ... • Euvolemic (Low ... Ingestion Renal Hypernatremia ... MatthewHoMD #Hypernatremia

of Hypernatremia ... #Hypernatremia ... #Differential #Algorithm ... #Causes #Nephrology ... #Diagnosis *

Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
• Tea and Toast Syndrome, Beer Potomania - Low solute

Hyponatremia - Differential ... Diagnosis Algorithm ... Beer Potomania - Low ... thecurbsiders #Hyponatremia ... #Algorithm #causes

True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum

True Hyponatremia ... and hypervolemic hyponatremia ... in euvolemic hyponatremia ... kidney_boy #True #Hyponatremia ... #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 ... • nephrotic syndrome ... renal failure #Hypernatremia ... #Algorithm #Nephrology

Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia:
• ADH ON (UOsm > 100):

Modified Hyponatremia ... Hyponatremia: Hyperglycemia ... Cirrhosis, Nephrotic syndrome ... Primary polydipsia, Low ... #Algorithm #diagnosis

Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to

Causes of Hyponatremia ... Algorithm Syndrome ... osmole intake #Hyponatremia ... #Diagnosis #Algorithm ... #Causes

Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
• UNa < 20 mEq/L - Appropriate (↓ EABV)

Hyponatremia Diagnosis ... Primary polydipsia, Low ... @NephroMD #hyponatremia ... #algorithm #causes ... #nephrology

Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
• Lack of access to water
Extrarenal hypotonic fluid

Causes of Hypernatremia ... - Differential Diagnosis ... insipidus • Nephrogenic ... administration #Hypernatremia ... #Causes #nephrology

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