19 results
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... uric acid high in hypovolemic ... and hypervolemic ... #Differential #Algorithm ... #Diagnosis #Nephrology
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Evaluation of Hyponatremia ... symptoms (HA, nausea ... history #Diagnosis #EM ... #Hypervolemic # ... #Differential #Algorithm
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Dependent: • Hypovolemic ... • Hypervolemic ... #causes #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... Diagnosis Workup Algorithm ... : • Hypovolemic ... Diagnosis #Workup #Algorithm ... #nephrology #sodium
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Diagnosis Algorithm ... Hypovolemic - Give ... volume Hypervolemic ... treat underlying cause ... #diagnosis #nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... HYPOVOLEMIC • ... psychogenic polydipsia HYPERVOLEMIC ... Diagnosis #Workup #Algorithm ... #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... hormone secretion Hypervolemia ... renal failure Hypervolemia ... #Causes #nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Based Approach to Hyponatremia ... Hypovolemic, Serum ... Primary polydipsia Hypervolemic ... #algorithm #diagnosis ... #sodium #low #nephrology
Diagnosis and Management of Hypernatremia

#Hypernatremia #Differential #Algorithm #Causes #Nephrology #Diagnosis

** GrepMed Recommended Text: Nephrology Secrets -
Management of Hypernatremia ... #Hypernatremia ... #Differential #Algorithm ... #Causes #Nephrology ... Recommended Text: Nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... polydipsia • Hypervolemia ... MH/CCF/CWRU EM ... #diagnosis #causes ... #nephrology #sodium