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Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... Consider: Primary polydipsia ... , Low solute intake ... #differential #algorithm
Diagnostic Approach to Hyponatremia Box A: • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose • Pseudohyponatremia:
Box C: Primary Polydipsia ... , Low Na intake, ... Hyponatremia #Diagnosis #Algorithm
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... Beer Potomania - Low ... • Psychogenic Polydipsia ... Differential #Diagnosis #Algorithm
Polyuria - Differential Diagnosis Algorithm Polyuria = >3L Urine output / 24 hours Urine osmolality = 2 (Na
Differential Diagnosis Algorithm ... nutrition), Azotemia LOW ... Insipidus • Primary Polydipsia ... Differential #Diagnosis #Algorithm
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... 100): Primary polydipsia ... , Low solute intake ... #Hyponatremia #Algorithm
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Hypothyroidism, Low ... deficiency, Primary polydipsia ... #Hyponatremia #algorithm ... diagnosis #sodium #low
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
Differential Diagnosis Algorithm ... kg) • Primary Polydipsia ... Differential #Diagnosis #Algorithm
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
Water: • Primary polydipsia ... "psychogenic polydipsia ... • Central Dl (Low
Hyponatremia Treatment Algorithm CHF, Cirrhosis - Fluid restriction SIADH - Fluid restriction - Consider salt tablets if etiology
Hyponatremia Treatment Algorithm ... diuresis) 1° polydipsia ... Hyponatremia #Treatment #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Differential Diagnosis Algorithm ... suppression • Primary polydipsia ... Differential #Diagnosis #Algorithm
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