Shift nephrology algorithm video neurology syndrome hyponatremia gunn sodium low phosphorus true

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8 results

True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum

True Hyponatremia ... Differential Algorithm ... low, uric acid ... and uric acid low ... #Diagnosis #Nephrology

Hypernatremia Diagnosis and Workup

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

Repeat the sodium ... < 285 mmol/L - true ... • nephrotic syndrome ... Diagnosis #Workup #Algorithm ... #Nephrology

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

Algorithm Hypertonic ... Cirrhosis, Nephrotic syndrome ... Primary polydipsia, Low ... #Algorithm #diagnosis ... #sodium #nephrology

Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
• Urine Na <20: Extra-renal losses
•

Based Approach to Hyponatremia ... Hypothyroidism, Low ... Cirrhosis, Nephrotic syndrome ... #algorithm #diagnosis ... #sodium #low #nephrology

Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
• Decreased GI Absorption: Chronic Diarrhea, Antacids,

Differential Diagnosis Algorithm ... Appropriately Low ... Transcellular Shift ... Differential #Diagnosis #Algorithm ... #nephrology #phosphorus

Hypernatremia - Differential Diagnosis Workup Algorithm

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

Diagnosis Workup Algorithm ... • Euvolemic (Low ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... #nephrology #sodium

Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the

normal volume-based algorithm ... : SIADH, Renal Sodium ... can be high or low ... Cirrhosis, Nephrotic syndrome ... #nephrology

Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia:
• Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,

Algorithm Isotonic ... Cirrhosis, Nephrotic Syndrome ... #Differential #Algorithm ... diagnosis #causes #nephrology ... #sodium #low

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