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diagnosis nephrology hyponatremia differential management treatment siadh algorithm causes syndrome cdi cdiff cerebral clostridioides clostridium comparison difficile ebv elevated gastroenterology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Utilizing Uric Acid ADH ... water retention 1) ... Serum Osmolarity ... 3) Urine Sodium
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... asymptomatic to seizures ... stimulated in states of low ... activated in states of low ... #hyponatremia #ADH
Hyponatremia Diagnostic Algorithm 1) Check serum osmolality 2) Check urine osmolality 3) ADH Dependent - Check volume status, urine
Algorithm 1) Check ... serum osmolality ... 2) Check urine osmolality ... 3) ADH Dependent ... status, urine sodium
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
majority of cases, ADH ... 1) Is it hypotonic ... 2) Is ADH elevated ... of symptomatic (seizures ... management #nephrology #sodium
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Wasting vs SIADH - Pathophysiology ... 1) Neurological ... event 2) Sodium ... Hypovolaemia → ADH ... diagnosis #nephrology #hyponatremia
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... Workup Algorithm 1) ... Check Urine Osmolality ... • Euvolemic (Low ... Algorithm #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
+K / serum Na >1 ... : SIADH, Renal Sodium ... can be high or low ... Primary polydipsia), Low ... diagnosis #table #sodium
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
restriction: • Restrict 1 ... promoting passive sodium ... Saline: • If Urine osmolality ... antagonists: • Blocks ADH ... SIADH #Management #hyponatremia
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Treatment Options 1. ... promoting passive sodium ... NS • If Urine osmolality ... vaptans) • Blocks ADH ... SIADH #Management #hyponatremia
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology ICH Management: 1. Manage Blood Pressure •
Pressure (ICP) - Pathophysiology ... ICH Management: 1. ... Manage ICP and Seizures ... Physiology: CO2: • Low ... agents = increase osmolarity
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