16 results
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Hyponatremia: Hyperglycemia ... Hyponatremia: ... Cirrhosis, Nephrotic syndrome ... SatyaPatelMD #Hyponatremia
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... water Extrarenal hypotonic ... insipidus • Nephrogenic ... administration #Hypernatremia ... Causes #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Hyponatremia The ... hyponatremia, give ... : SIADH, Renal Sodium ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #
Visualizing Hypotonic Hyponatremia

 • UNa reveals RAAS activity.
 • UOsm reveals ADH activity.
 • ADH secretion
Visualizing Hypotonic ... Hyponatremia ... • UOsm reveals ADH ... #Hyponatremia # ... nephrology #diagnosis #sodium
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... and Treatment Hyponatremia ... 1) Is it hypotonic ... Treatment of hyponatremia ... demyelination syndrome
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Algorithm Isotonic Hyponatremia ... Hyponatremia: ... Cirrhosis, Nephrotic Syndrome ... causes #nephrology #sodium
Etiologies of Hypernatremia - Differential Diagnosis
GI losses / Insensible losses
Sodium Overload
Transcellular Movement of Water
Central Diabetes Insipidus
Etiologies of Hypernatremia ... Insensible losses Sodium ... Insipidus (Decr ADH ... Insipidus (Incr ADH ... DrEricStrong #Hypernatremia
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... Extrarenal Hypernatremia ... Ingestion Renal Hypernatremia ... MatthewHoMD #Hypernatremia ... Algorithm #nephrology #sodium
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... cirrhosis, nephrotic syndrome ... • UOsm > 300 - ADH ... UnremarkableLab #Hyponatremia ... diagnosis #nephrology #sodium
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... Indications for Hypertonic ... Saline: seizure ... Overcorrection of Hyponatremia ... MetroHealth_EM #Hyponatremia