Snout opiate differential neurology low workup diagnosis sodium table 2 gca hypernatremia algorithm

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Hypernatremia - Differential Diagnosis Workup Algorithm

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

Differential Diagnosis ... Workup Algorithm ... Diagnosis #Workup ... #Algorithm #nephrology ... #sodium

True Hyponatremia Differential Algorithm

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

Differential Algorithm ... low, uric acid ... #Differential # ... Algorithm #Diagnosis ... #Nephrology

Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid
ADH promotes Urea/uric acid excretion along with water

Hyponatremia Differential ... Diagnosis Algorithm ... Serum Osmolarity 2) ... Diagnosis #Algorithm ... #nephrology #sodium

Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess

Hypernatremia Differential ... Diagnosis Algorithm ... Diabetes Insipidus Workup ... history Step #2 ... #Sodium #nephrology

Hypernatremia Diagnosis and Workup

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

Hypernatremia Diagnosis ... Repeat the sodium ... Step 2. ... #Diagnosis #Workup ... #Algorithm #Nephrology

Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High

Diagnosis Algorithm ... water loss, Serum Sodium ... mannitol, glucosuria Low ... #Nephrology #Differential ... #Diagnosis #Algorithm

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

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

Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
• Low Urine Cl-: Vomiting,

Diagnosis Algorithm ... Volume Depleted - 2° ... Expanded - 1° or 2° ... #Diagnosis #Algorithm ... #Nephrology #Causes

Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
• Low Urine Cl-: Vomiting, NGT

Diagnosis Algorithm ... Volume Depleted 2° ... Adenoma, BAH, AME, GRA ... #Diagnosis #Algorithm ... #nephrology

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

normal volume-based algorithm ... can be high or low ... #differential # ... diagnosis #table ... #sodium #nephrology

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