Neurogenic hypernatremia neurology reflex algorithm diagnosis low hyponatremia hypokalemia causes

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

Hyponatremia Diagnosis ... EABV) - Consider: Hypovolemia ... Primary polydipsia, Low ... @NephroMD #hyponatremia ... #algorithm #causes

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

Modified Hyponatremia ... Hyponatremia: Hyperglycemia ... ON (UNa < 30): Hypovolemia ... Primary polydipsia, Low ... #Algorithm #diagnosis

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

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

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

Causes of Hyponatremia ... Malignancy True hypovolemia ... osmole intake #Hyponatremia ... #Diagnosis #Algorithm ... #Causes

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

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

Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High

Causes of Hypernatremia ... Algorithm Hypernatremia ... mannitol, glucosuria Low ... Hyperventilation #Hypernatremia ... #Diagnosis #Algorithm

Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20:
• Renal losses, Diuretic excess,

Causes of Hyponatremia ... Algorithm Hypovolemia ... Cardiac failure #Hyponatremia ... #Algorithm #Causes ... #nephrology

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