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diagnosis hyponatremia management algorithm differential low acute chronic hyperkalemia hypernatremia hypotonic person physiologic polydipsia primary sps stiff syndrome table uricacid
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
water retention 1) Serum ... 4) Serum Uric Acid ... Low Uric Acid → SIADH ... salt wasting By Rachel ... Diagnosis #Algorithm #nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
wasting Euvolemic, Serum ... uric acid <4 • SIADH ... Hypervolemic, Serum ... algorithm #diagnosis #sodium ... #low #nephrology
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Diagnosis and Workup ... Repeat the sodium ... EUVOLEMIC • SIADH ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine Na+K / serum ... restriction alone in SIADH ... Present (Uosm ≥100): SIADH ... , Renal Sodium loss ... #nephrology
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... promoting passive sodium ... • Re-check the serum ... #hyponatremia #nephrology ... #treatment
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... promoting passive sodium ... SatyaPatelMD #SIADH ... #hyponatremia #nephrology ... #treatment
Primary Polydipsia Definition: Excessive volitional water intake Epidemiology: • 6-20% of patients with psychiatric disorders - Most commonly
Pseudohyponatremia, SIADH ... intoxication Initial Workup ... Osm, Serum Sodium ... , Urine Sodium ... diagnosis #management #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
3 questions to work ... Calculate serum ... Treatment: Treatment ... #management #nephrology ... #sodium
Algorithm for Management of Acute and Chronic Hyperkalemia Acute Hyperkalemia: - IV calcium (10 mL of 10%)
in 4 mL) - IV sodium ... optimal dose after serum ... mL/min) - Oral sodium ... Acute #Chronic #treatment ... #nephrology
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary Epidemiology: • Prevalence: 1-2 cases per million -
antibody that works ... Person Syndrome Treatment ... others (botox, sodium ... Diagnosis #Management #treatment ... #neurology
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