6 results
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
OFF (UNa > 30): SIADH ... Reset osmostat, Cerebral ... 100): Primary polydipsia ... , Low solute intake ... Algorithm #diagnosis #sodium
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Renal losses, Cerebral ... uric acid <4 • SIADH ... deficiency, Primary polydipsia ... algorithm #diagnosis #sodium ... #low #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
, Renal Sodium loss ... can be high or low ... Insufficiency, Cerebral ... intake (Primary polydipsia ... #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... • Euvolemia: SIADH ... Potomania, Psychogenic polydipsia ... diagnosis #causes #nephrology ... #sodium #low
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
, Dehydration: neurologic ... Diabetes Insipidus: neurogenic ... patients at risk for cerebral ... Diagnosis #Treatment #management ... #nephrology #sodium
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 • 6-20% of patients with psychiatric disorders - Most commonly
• Symptomatic hyponatremia ... Pseudohyponatremia, SIADH ... , Urine Sodium ... #diagnosis #management ... #nephrology