11 results
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Cirrhosis, Nephrotic syndrome ... Primary polydipsia, Low ... #diagnosis #sodium ... #nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Hypothyroidism, Low ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Workup Algorithm ... • Euvolemic (Low ... , Cushing syndrome ... #nephrology #sodium
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... 1.5 High CO / Low ... Abdominal compartment syndrome ... #criticalcare # ... algorithm #treatment
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... Cirrhosis, Nephrotic syndrome ... #differential #diagnosis ... #nephrology
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
disturbance/loss, Slow ... illness - Prior psychiatric ... guide targeted treatments ... #PICS #diagnosis ... #management #criticalcare
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Cirrhosis, Nephrotic Syndrome ... MH/CCF/CWRU EM ... #diagnosis #causes ... #nephrology #sodium ... #low
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... , Gitelman syndrome ... the excretion of sodium ... #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
mental status and low ... & Dry) is the treatment ... acute coronary syndrome ... #algorithm #management ... heartfailure #chf #criticalcare
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
for Refeeding Syndrome ... both conditions, low ... #diagnosis #differential ... #algorithm #management ... #treatment #criticalcare