11 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Differential Diagnosis ... #EM #IM #Nephro ... #Hyponatremia # ... #Hypervolemic # ... #Differential #Algorithm
Differential Diagnosis and Evaluation of Hyponatremia #Diagnosis #EM #IM #Nephro #Hyponatremia #Algorithm #VolumeStatus #Differential #Ddxof
Differential Diagnosis ... Evaluation of Hyponatremia ... #Diagnosis #EM ... #IM #Nephro #Hyponatremia ... #Algorithm #VolumeStatus
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... - Urine sodium low ... and hypervolemic ... and uric acid low ... #Diagnosis #Nephrology
Differential Diagnosis and Evaluation of Hypernatremia #Diagnosis #EM #IM #Nephro #Hypernatremia #Algorithm #VolumeStatus #Differential #DiabetesInsipidus #Ddxof
Differential Diagnosis ... Evaluation of Hypernatremia ... #Diagnosis #EM ... #IM #Nephro #Hypernatremia ... #Algorithm #VolumeStatus
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... • Euvolemic (Low ... #Workup #Algorithm ... #nephrology #sodium
#Diagnosis #EM #IM #PERC #Low #Risk #Pulmonary #Embolism #PulmonaryEmbolism #Algorithm #RebelEM
#Diagnosis #EM # ... IM #PERC #Low #Risk ... #Pulmonary #Embolism ... PulmonaryEmbolism #Algorithm
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Beer Potomania - Low ... • Hypervolemic ... #nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Based Approach to Hyponatremia ... Hypovolemic, Serum ... Hypothyroidism, Low ... #algorithm #diagnosis ... #sodium #low #nephrology
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... Primary polydipsia, Low ... Helbert Rondon, MD @NephroMD ... #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
polydipsia • Hypervolemia ... MH/CCF/CWRU EM ... #diagnosis #causes ... #nephrology #sodium ... #low