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Classification, Differential Diagnosis, and Features of Hyponatremia According to Volume Status Hypervolemic hypernatremia - CHF
, Differential Diagnosis ... - Nephrotic syndrome ... Acute and chronic kidney ... disease Normovolemic ... #Differential #Diagnosis
Etiologies of Hypernatremia - Differential Diagnosis GI losses / Insensible losses Sodium Overload Transcellular Movement of Water Central Diabetes Insipidus
Etiologies of Hypernatremia ... - Differential Diagnosis ... Insensible losses Sodium ... sensitivity in kidneys ... Various renal diseases
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... Dehydration: neurologic disease ... Diabetes Insipidus: neurogenic ... #Treatment #management ... #nephrology #sodium
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... #Differential #Diagnosis ... Algorithm #nephrology #sodium
Inherited Defects in Kidney Tubule Epithelial Cells Renal glucosuria - Na+-dependent glucose cotransporter Cystinuria - Amino acid transporter Bartter
Inherited Defects in Kidney ... cell epithelial sodium ... of epithelial sodium ... Inherited #Defects #Kidney ... #Nephrology #Diagnosis
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Diagnosis of ... irrigation • Management ... syndrome • Hyponatremia ... syndrome • Nephrogenic ... Tolvaptan) • Treatment
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Acute Kidney Injury ... a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... obstruction) • Neurogenic ... Classification #diagnosis
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... cirrhosis, nephrotic syndrome ... Nausea, Pulmonary Diseases ... , CNS Disease, Meds ... #nephrology #sodium
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... demyelination syndrome ... vaptans (HF/liver disease ... #Treatment #management ... #nephrology #sodium
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Acute Kidney Injury ... (AKI) - Management ... • Hepatorenal syndrome ... ureteral stent(s) • Neurogenic ... #management
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