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differential nephrology hyponatremia acute adrenal aki cancer chestpain hyperkalemia hypotonic injury insufficiency intercellularshift kidney low noncardiac oncology physiologic syncope table
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... stimulus to ADH • Pain ... Malignancy True hypovolemia ... heart failure • Cirrhosis ... #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... stimulus to ADH • Pain ... Malignancy True hypovolemia ... heart failure • Cirrhosis ... #Algorithm #Causes
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
treat underlying cause ... (CHF, cirrhosis ... Pain. ... #Algorithm #diagnosis ... #nephrology #sodium
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... EABV) - Consider: Hypovolemia ... Heart failure, Cirrhosis ... #causes #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... ON (UNa < 30): Hypovolemia ... Heart failure, Cirrhosis ... #diagnosis #sodium ... #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Algorithm Hypovolemia ... Nephrotic syndrome, Cirrhosis ... #Algorithm #Causes ... #nephrology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Algorithm Clinical ... Weakness, fatigue, nausea ... musculoskeletal pain ... hyponatremia, hyperkalemia ... #Algorithm #endocrinology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Present (Uosm ≥100): Hypovolemia ... Heart failure, Cirrhosis ... #differential #diagnosis ... #nephrology
Chest Pain - Differential Diagnosis Algorithm Cardiovascular Causes: - Outflow Obstruction • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... • Trauma - Neurologic ... ChestPain #Noncardiac #Cardiology ... #Algorithm #causes
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
- Differential Diagnosis ... Pre-Renal: • Hypovolemia ... Pigment, Protein) • AIN ... #nephrology #causes ... #algorithm
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