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diagnosis nephrology hypernatremia hematuria hypervolemic hypotonic hypovolemic macroscopic nephro physiologic pseudohyponatremia table true urology workup
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... low, uric acid ... in euvolemic hyponatremia ... #Differential # ... #Nephrology
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
symptoms (HA, nausea ... history #Diagnosis #EM ... #IM #Nephro #Hyponatremia ... #Hypovolemic #Euvolemic ... #Algorithm #Ddxof
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... treat underlying cause ... nephrotic syndrome) Euvolemic ... Disease, Meds (Opiates ... #sodium
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... (Low H2O intake ... #Differential # ... #nephrology #sodium
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Pancreatitis • Euvolemia ... MH/CCF/CWRU EM ... #causes #nephrology ... #sodium #low
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Beer Potomania - Low ... • Euvolemic ... #causes #nephrology
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
Algorithm and Differential ... RBC’s, RBC/WBC casts ... prostatic) #Diagnosis #EM ... #IM #Urology #Hematuria ... #Algorithm #Ddxof
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... - Differential ... water loss, Serum Sodium ... mannitol, glucosuria Low ... #Nephrology #Differential
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... can be high or low ... #differential # ... #nephrology
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