Stability diagnosis nephrology classification syndrome potassium hyponatremia nephrotic low workup

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Hypernatremia Diagnosis and Workup

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

Hypernatremia Diagnosis ... liver failure • nephrotic ... syndrome • renal ... #Diagnosis #Workup ... #Algorithm #Nephrology

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

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

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

Diagnosis Algorithm ... Beer Potomania - Low ... liver failure, nephrotic ... syndrome ... Algorithm #causes #nephrology

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

Hypothyroidism, Low ... failure, Cirrhosis, Nephrotic ... syndrome • Urine ... #algorithm #diagnosis ... #sodium #low #nephrology

Hypernatremia - Differential Diagnosis Workup Algorithm

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

Differential Diagnosis ... Workup Algorithm ... • Euvolemic (Low ... , Cushing syndrome ... #nephrology #sodium

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

can be high or low ... failure, Cirrhosis, Nephrotic ... syndrome) • ADH ... #differential #diagnosis ... table #sodium #nephrology

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

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

Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.

Hyponatremia - Diagnosis ... caused by the inability ... 3 questions to work ... demyelination syndrome ... Treatment #management #nephrology

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