14 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

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

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... renal mechanism 2) ... insipidus (central or nephrogenic ... Workup #Algorithm #nephrology ... #sodium
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 • 6-20% of patients with psychiatric disorders - Most commonly
• Symptomatic hyponatremia ... occurs in only 2- ... , Urine Sodium ... Polydipsia #diagnosis #management ... #nephrology
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... include pain, primary ... promoting passive sodium ... #hyponatremia # ... nephrology #treatment
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... and Treatment Hyponatremia ... 2) Is ADH elevated ... Diagnosis #Treatment #management ... #nephrology #sodium
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
of SIADH: Pain, Primary ... 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 ... kidney disease • Primary ... insipidus • Primary ... Excretion #Diuresis #Nephrology ... #Pharmacology #
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Hydration: 1.5-2 ... ECWL +/- Stent: < 2 ... protein - Low sodium ... Targeted Rx: • PRIMARY ... #Pediatrics #nephrology