20 results
Differential Diagnosis and Evaluation of Hyponatremia #Diagnosis #EM #IM #Nephro #Hyponatremia #Algorithm #VolumeStatus #Differential #Ddxof
Evaluation of Hyponatremia ... #Diagnosis #EM ... #IM #Nephro #Hyponatremia ... #Algorithm #VolumeStatus ... #Differential #Ddxof
Differential Diagnosis and Evaluation of Hypernatremia #Diagnosis #EM #IM #Nephro #Hypernatremia #Algorithm #VolumeStatus #Differential #DiabetesInsipidus #Ddxof
Evaluation of Hypernatremia ... #Diagnosis #EM ... #IM #Nephro #Hypernatremia ... #Algorithm #VolumeStatus ... DiabetesInsipidus #Ddxof
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... failure #Hypernatremia ... #Diagnosis #Workup ... #Algorithm #Nephrology
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Evaluation of Hyponatremia ... #EM #IM #Nephro ... #Hyponatremia # ... #Differential #Algorithm ... #Ddxof
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Hyponatremia: Hyperglycemia ... Hypothyroidism, Adrenal ... Primary polydipsia, Low ... #Algorithm #diagnosis
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia ... and hypervolemic hyponatremia ... in euvolemic hyponatremia ... kidney_boy #True #Hyponatremia ... #Diagnosis #Nephrology
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Beer Potomania - Low ... Hypothyroidism, adrenal ... thecurbsiders #Hyponatremia
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... High Uric Acid → renal ... Rachel Stern MD #Hyponatremia ... #Algorithm #nephrology
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Primary polydipsia, Low ... solute intake, Renal ... @NephroMD #hyponatremia ... #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... Hypothyroidism • Adrenal ... osmole intake #Hyponatremia ... #Diagnosis #Algorithm