12 results
Causes of Generalized Edema - Differential Diagnosis Algorithm
Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
of Generalized Edema ... Differential Diagnosis Algorithm ... Overfill (Increased renal ... sodium retention ... Burns/Trauma #Edema
Hirsutism - Differential Diagnosis Algorithm
RAPID ONSET
Medications
 • Steroids
 • Danazol
 • Progestin Containing Contraceptives
Increased Serum Testosterone
Differential Diagnosis Algorithm ... RAPID ONSET Medications ... Serum DHEAS • Adrenal ... -OH Congenital Adrenal ... #endocrinology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Differential Diagnosis Algorithm ... Syndrome of Inappropriate ... diuretics) With edema ... • Nephrotic syndrome ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Differential Diagnosis Algorithm ... Syndrome of Inappropriate ... diuretics) With edema ... • Nephrotic syndrome ... #Hyponatremia #Nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Repeat the sodium ... hypothyroidism • adrenal ... • nephrotic syndrome ... Diagnosis #Workup #Algorithm ... #Nephrology
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Cirrhosis, Nephrotic syndrome ... Hypothyroidism, Adrenal ... #diagnosis #sodium ... #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Diagnosis #Workup #Algorithm ... #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Sodium loss (diuretics ... Cirrhosis, Nephrotic syndrome ... diagnosis #table #sodium ... #nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Na <20: Extra-renal ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
- Differential Algorithm ... Cirrhosis, Nephrotic Syndrome ... , Chronic Renal ... diagnosis #causes #nephrology ... #sodium #low