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diagnosis hyponatremia nephrology differential endocrinology symptoms addisons adrenal causes disease hypotonic insufficiency interpretation low physiologic table tfts thyroid tsh volume
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Evaluation of Hyperthyroidism ... high T4 +/- T3 → Primary ... Hyperthyroidism ... → Signs of ... #algorithm #diagnosis
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... • Insomnia Primary ... Hyperthyroidism ... Size Thyroid Storm ... endocrinology #signs
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Medications (diuretics), Hypothyroidism ... (UOsm < 100): Primary ... #Hyponatremia #Algorithm ... #diagnosis #sodium
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
hypothyroidism ... PRA • ↓ Serum sodium ... ACTH • ↓ Serum sodium ... Reduced libido • Signs ... tests: - Check sodium
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... Solute Intake - Primary ... CKD, Thiazides, Hypothyroidism ... Differential #Diagnosis #Algorithm ... diagnosis #nephrology #sodium
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
acid <4 • SIADH, Hypothyroidism ... Glucocorticoid deficiency, Primary ... #Hyponatremia #algorithm ... #diagnosis #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 ... or low Uosm), Hypothyroidism ... water intake (Primary ... diagnosis #table #sodium
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