8 results
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Algorithm Hypertonic ... • ADH ON (UOsm ... ON (UNa < 30): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... Algorithm #diagnosis #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
: SIADH, Renal Sodium ... Present (Uosm ≥100): Hypovolemia ... , Hypervolemia with ... Cirrhosis, Nephrotic syndrome ... diagnosis #table #sodium
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
, Recent TURP Hypotonic ... • Hypovolemia: ... polydipsia • Hypervolemia ... Cirrhosis, Nephrotic Syndrome ... causes #nephrology #sodium
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
: • Hypovolemic ... : • Hypovolemic ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Algorithm #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 ... hypercalcemia - Chronic hypokalemia
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm Hypovolemic ... cirrhosis, nephrotic syndrome ... • UOsm > 300 - ADH ... diagnosis #nephrology #sodium
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... asymptomatic to seizures ... hypervolemic, hypovolemic ... #hyponatremia #ADH ... #RAAS #Hypovolemia
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
majority of cases, ADH ... 1) Is it hypotonic ... demyelination syndrome ... of symptomatic (seizures ... management #nephrology #sodium