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Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... DrEricStrong #Hypernatremia ... #Management #Algorithm ... #Sodium #nephrology ... #insipidus #DI
Hypernatremia Classification and Features According to Volume Status
 - Hypervolemic hypernatremia - Cushing's syndrome, Primary hyperaldosteronism,
- DI, Central Dl ... , Partial DI, Gestational ... DI, Nephrogenic ... DI, Hypodipsia ... Comparison #Table #Nephrology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
urine osm (in DI ... , Dehydration: neurologic ... Diabetes Insipidus: neurogenic ... Diagnosis #Treatment #management ... #nephrology #sodium
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 ... #sodium #high
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... Extrarenal Hypernatremia ... insipidus (central or nephrogenic ... Workup #Algorithm #nephrology ... #sodium
Status Epilepticus Pharmacotherapy Guide

 • Phenytoin and Fosphenytoin
 • Valproate Sodium
 • Levetiracetam
 • Lacosamide
 •
• Valproate Sodium ... #Epilepticus #Pharmacology ... #neurology #management
Migraine - Preventative Treatments

 • Anticonvulsants: *Topiramate, *Sodium valproate, Gabapentin, Pregabalin
 • Antidepressants: Amitriptyline, Venlafaxine, Duloxetine,
*Topiramate, *Sodium ... Preventative #Treatment #management ... prophylaxis #prevention #pharmacology ... #neurology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... and Treatment Hyponatremia ... Treatment of hyponatremia ... Diagnosis #Treatment #management ... #nephrology #sodium
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... promoting passive sodium ... SatyaPatelMD #SIADH #Management ... #hyponatremia # ... nephrology #treatment
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... nephrotic syndrome • Hyponatremia ... and euvolemic hyponatremia ... Excretion #Diuresis #Nephrology ... #Pharmacology #