13 results
nephrology differential causes hyponatremia algorithm management anticoagulation classification defects diuresis diuretics epithelial excretion gitelman heatstroke high hyperkalemia hypokalemia hypotonic illness
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... • Euvolemic (Low ... , Cushing syndrome ... #Differential #Diagnosis ... Algorithm #nephrology #sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
: Hypovolemia, Heart ... Cirrhosis, Nephrotic syndrome ... Primary polydipsia, Low ... #Algorithm #diagnosis ... #sodium #nephrology
Inherited Defects in Kidney Tubule Epithelial Cells Renal glucosuria - Na+-dependent glucose cotransporter Cystinuria - Amino acid transporter Bartter
cell epithelial sodium ... of epithelial sodium ... renal tubular acidosis ... Kidney #Nephrology #Diagnosis ... #Differential #Table
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Hypothyroidism, Low ... Urine Na < 20: Heart ... Cirrhosis, Nephrotic syndrome ... #algorithm #diagnosis ... #sodium #low #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
can be high or low ... renal perfusion (Heart ... Cirrhosis, Nephrotic syndrome ... #differential #diagnosis ... #table #sodium
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
Diagnosis Framework ... Dehydration - Loss of sodium ... conditions - Neurogenic ... illness → Hypernatremia ... consciousness, Coma/seizure
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Diagnosis by Mechanism ... depletion - Heart ... - Cirrhosis Syndrome ... #Table #Causes ... #Sodium
Citrate Anticoagulation Toxicity Hypernatremia (HyperNa): - Citrate solutions may have ↑ sodium content and should be paired
Toxicity Hypernatremia ... solutions may have ↑ sodium ... Anion-Gap Metabolic Acidosis ... dysfunction or low ... toxicology #nephrology #diagnosis
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Diagnosis of ... • Hyponatremia ... • Nephrogenic ... and euvolemic hyponatremia ... #Medications #Table
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hypervolemia: Congestive Heart ... Cirrhosis, Nephrotic Syndrome ... Differential #Algorithm #diagnosis ... causes #nephrology #sodium ... #low
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