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diagnosis differential management causes treatment nephrology ddxof peds workup hematology cardiology gastroenterology pulmonary evaluation em pediatrics endocrinology criticalcare neurology dermatology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic ... Hyponatremia: Hyperglycemia ... 100): Primary polydipsia ... #Algorithm #diagnosis
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... Consider: Primary polydipsia ... @NephroMD #hyponatremia ... #differential #algorithm
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... • psychogenic polydipsia ... renal failure #Hypernatremia ... Diagnosis #Workup #Algorithm
Diagnostic Approach to Hyponatremia Box A: • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose • Pseudohyponatremia:
Diagnostic Approach to Hyponatremia ... Normo/hyperosmolar Hyponatremia ... Box C: Primary Polydipsia ... Wilkinsonjonny #Hyponatremia ... #Diagnosis #Algorithm
Hyponatremia Treatment Algorithm CHF, Cirrhosis - Fluid restriction SIADH - Fluid restriction - Consider salt tablets if etiology
Hyponatremia Treatment ... Algorithm CHF ... diuresis) 1° polydipsia ... DrEricStrong #Hyponatremia ... #Treatment #Algorithm
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... • Psychogenic Polydipsia ... thecurbsiders #Hyponatremia ... Differential #Diagnosis #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... suppression • Primary polydipsia ... osmole intake #Hyponatremia ... Differential #Diagnosis #Algorithm
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Algorithm Isotonic ... Hyponatremia: Hyperlipidemia ... Potomania, Psychogenic polydipsia ... #Differential #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... suppression • Primary polydipsia ... osmole intake #Hyponatremia ... Differential #Diagnosis #Algorithm
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... - Primary Polydipsia ... UnremarkableLab #Hyponatremia ... Differential #Diagnosis #Algorithm
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