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Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential ... Algorithm - Diabetes Insipidus ... Workup Step #1 ... Management #Algorithm #Sodium ... #nephrology #insipidus
Urine Specific Gravity - Interpretation Specific Gravity = Density of urine / Density of water SG close to
Urine Specific Gravity ... Gravity = Density of urine ... hydration • Diabetes insipidus ... Interpretation #diagnosis #differential ... #nephrology
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
Polyuria - Differential ... Central Diabetes Insipidus ... Nephrogenic Diabetes Insipidus ... #Polyuria #Differential ... Algorithm #causes #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... water retention 1) ... Osmolarity 2) Urine ... Sodium 4) Serum ... Diagnosis #Algorithm #nephrology
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... sodium and serum ... sodium low, uric ... #Hyponatremia #Differential ... Algorithm #Diagnosis #Nephrology
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Hypernatremia - Differential ... Central diabetes insipidus ... Hypernatremia #Differential ... Diagnosis #Causes #nephrology ... #sodium #high
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Hypernatremia - Differential ... water loss, Serum Sodium ... 145 mmol/L High Urine ... kg • Diabetes Insipidus ... Hypernatremia #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Workup Algorithm 1) ... Check Urine Osmolality ... Euvolemic: Diabetes insipidus ... Workup #Algorithm #nephrology ... #sodium
Fractional Excretion of Sodium - FENa Fractional Excretion of Sodium (FENa) = (Urine Na+ x Serum Cr)
Fractional Excretion of Sodium ... (FENa) = (Urine ... / (Serum Na+ x Urine ... Cr) FEurea < 1% ... #nephrology #calculation
Diabetes Insipidus - Diagnosis Algorithm Tests: • Osmolality, Urine AND/OR • Osmolality, Serum or Plasma AND •
Diabetes Insipidus ... Plasma AND • Sodium ... 1-2 hrs post administration ... Diagnosis #Algorithm #nephrology ... #differential
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