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diagnosis hyponatremia algorithm differential management treatment 3 cerebral comparison di hypotonic insipidus low pathophysiology physiologic polydipsia primary saltwasting table uricacid
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
water retention 1) ... 2) Urine Osmolarity ... Low Uric Acid → SIADH ... salt wasting By Rachel ... Diagnosis #Algorithm #nephrology
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
1 . ... Repeat the sodium ... Step 2. ... EUVOLEMIC • SIADH ... #Algorithm #Nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Pathophysiology 1) ... Neurological event 2) ... Sodium loss from ... Pathophysiology #diagnosis #nephrology ... #hyponatremia #
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Diabetes Insipidus Workup ... Step #1 - Consider ... history Step #2 ... Management #Algorithm #Sodium ... #nephrology #insipidus
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... renal mechanism 2) ... #Algorithm #nephrology ... #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine Na+K / serum ... Na >1 is predictive ... restriction alone in SIADH ... , Renal Sodium loss ... #nephrology
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Options 1. ... promoting passive sodium ... • Re-check the serum ... #Management #hyponatremia ... #nephrology #treatment
Hyponatremia Diagnostic Algorithm 1) Check serum osmolality 2) Check urine osmolality 3) ADH Dependent - Check volume status, urine
Algorithm 1) Check ... serum osmolality ... 2) Check urine ... status, urine sodium ... #nephrology
Primary Polydipsia Definition: Excessive volitional water intake Epidemiology: • 6-20% of patients with psychiatric disorders - Most commonly
occurs in only 2- ... Pseudohyponatremia, SIADH ... intoxication Initial Workup ... Osm, Serum Sodium ... diagnosis #management #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
3 questions to work ... 1) Is it hypotonic ... Calculate serum ... 2) Is ADH elevated ... #sodium
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