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diagnosis differential nephrology management hyponatremia criticalcare causes sodium treatment endocrinology hematology cardiology comparison fever foamed hyperthyroidism clinical hypernatremia idsa laboratory
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 ... #workup
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... Consider: Primary polydipsia ... , Low solute intake ... #differential #algorithm
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Diagnosis and Workup ... • psychogenic polydipsia ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Hypocalcemia Workup - Differential Diagnosis Algorithm • Low Magnesium, High Magnesium - Functional Hypoparathyroidism • High
Hypocalcemia Workup ... Differential Diagnosis Algorithm ... • Low Magnesium ... #Hypocalcemia #Workup ... Differential #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
Workup of Hypercalcemia - Differential Diagnosis Algorithm High or Normal PTH: • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... Differential Diagnosis Algorithm ... Hypercalcemia Low ... PTHrP: - Low ... #Workup #nephrology
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
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
Hyperthyroidism (low ... ) - Diagnostic Algorithm ... affects diagnostic workup ... Hyperthyroid #Diagnosis #Algorithm ... #Workup #Endocrinology
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