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diagnosis nephrology differential hyponatremia management treatment algorithm barre cancer emergencies guillain low oncology workup cerebral comatose cord disorders gbs guillainbarre
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Pathophysiology 1) ... Neurological event 2) Sodium ... from tubules 3) ... #hyponatremia # ... comparison
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Workup Step 1 ... Repeat the sodium ... administration Step 3. ... EUVOLEMIC • SIADH ... • nephrotic syndrome
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... water retention 1) ... Urine Osmolarity 3) ... Urine Sodium 4) ... Low Uric Acid → SIADH
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... treat underlying cause ... cirrhosis, nephrotic syndrome ... , SSRIs) - SIADH ... #sodium
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Workup Algorithm 1) ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Workup #Algorithm #nephrology ... #sodium
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 ... , Renal Sodium loss ... Cirrhosis, Nephrotic syndrome ... #nephrology
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
output is a clue). 1) ... post-obstructive 3) ... Diabetes Insipidus: neurogenic ... ([Na] / 140) - 1) ... #sodium
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... restriction: • Restrict 1 ... promoting passive sodium ... #Management #hyponatremia ... #nephrology #treatment
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Options 1. ... Treat underlying cause ... hospitalization) 3. ... promoting passive sodium ... #Management #hyponatremia
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
1) Is it hypotonic ... the underlying cause ... demyelination syndrome ... Treatment #management #nephrology ... #sodium
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