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differential hypernatremia sodium table adrenal anemia druginduced hypercalcemia hyperthyroidism hypotonic insufficiency interpretation lupus macrocytic management microcytic parathyroid physiologic polycythemia pth
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... NORMAL PLASMA OSMOLALITY ... #Diagnosis #Workup ... #Algorithm #Nephrology
Diagnostic Approach to Hyponatremia Box A: • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose • Pseudohyponatremia:
Diagnostic Approach ... Box A: • Normo ... Primary Polydipsia, Low ... #Diagnosis #Algorithm ... #workup
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... • Euvolemic (Low ... #Workup #Algorithm ... #nephrology #sodium
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Algorithm Clinical ... , hypotension, hyponatremia ... insufficiency • Low ... or normal baseline ... #Algorithm #endocrinology
Workup of Hypercalcemia - Differential Diagnosis Algorithm High or Normal PTH: • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... Algorithm High ... or Normal PTH: ... #Algorithm #Workup ... #nephrology #PTH
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
TSH, Low normal ... • Low TSH, normal ... Hyperthyroidism: Work-up ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
remember than the normal ... volume-based algorithm ... can be high or low ... #differential #diagnosis ... table #sodium #nephrology
Anemia Diagnostic Algorithm Mean corpuscular (cell) volume (MCV): Average RBC size. Under 80 = microcytic. Between 80-95
Anemia Diagnostic ... Normal range 11.5% ... Low in bone marrow ... #Diagnosis #Workup ... #Hematology #Microcytic
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
CRP - Usually normal ... • Immunologic Workup ... in >90% - Low ... druginduced #lupus #sle #comparison ... #diagnosis #management
Polycythemia - Differential Diagnosis Algorithm Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Algorithm Polycythemia ... levels: realllly low ... exogenous, EPO levels: normal ... #Algorithm #workup ... #hematology
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