Shift nephrology algorithm peds diagnosis hyponatremia hypernatremia causes syndrome endocrinology

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of Hypernatremia ... #Hypernatremia ... #Differential #Algorithm ... #Causes #Nephrology ... #Diagnosis *

Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2. Check plasma osmolality.
NORMAL PLASMA

Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... • nephrotic syndrome ... renal failure #Hypernatremia ... #Algorithm #Nephrology

Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause

Hyponatremia - Differential ... Diagnosis Algorithm ... UnremarkableLab #Hyponatremia ... #Algorithm #diagnosis ... #nephrology #sodium

Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to

Causes of Hyponatremia ... Algorithm Syndrome ... osmole intake #Hyponatremia ... #Nephrology #Differential ... #Diagnosis #Algorithm

Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
• Tea and Toast Syndrome, Beer Potomania - Low solute

Hyponatremia - Differential ... Diagnosis Algorithm ... thecurbsiders #Hyponatremia ... #Algorithm #causes ... #nephrology

Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia:
• ADH ON (UOsm > 100):

Modified Hyponatremia ... Hyponatremia: Hyperglycemia ... Cirrhosis, Nephrotic syndrome ... #Algorithm #diagnosis ... #sodium #nephrology

Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20:
• Renal losses, Diuretic excess,

Causes of Hyponatremia ... - Differential Diagnosis ... Cardiac failure #Hyponatremia ... #Algorithm #Causes ... #nephrology

Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
• UNa < 20 mEq/L - Appropriate (↓ EABV)

Hyponatremia Diagnosis ... Algorithm UOsm ... @NephroMD #hyponatremia ... #algorithm #causes ... #nephrology

Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
> 600 mOsm/kg - Implies extrarenal mechanism

Hypernatremia - ... Extrarenal Hypernatremia ... Ingestion Renal Hypernatremia ... MatthewHoMD #Hypernatremia ... #nephrology #sodium

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