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nephrology diagnosis differential sodium table acute diuresis excretion hypotonic injury kidney medications pharmacology physiologic renal workup
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... especially thiazide diuretics ... • Reduced GFR, AKI ... suppression • Primary ... #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... especially thiazide diuretics ... • Reduced GFR, AKI ... suppression • Primary ... #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... Renal losses, Diuretic ... Hypothyroidism, Stress ... #Causes #nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
treat underlying cause ... cirrhosis, nephrotic syndrome ... Solute Intake - Primary ... Stress, Nausea, ... , CNS Disease, Meds
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 ... , Post-AKI diuresis ... Cirrhosis, Nephrotic syndrome ... water intake (Primary
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
, Mannitol, Urologic ... Cirrhosis, Nephrotic syndrome ... , Medications (diuretics ... (UOsm < 100): Primary ... #sodium #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... osmolarity If cause ... cryoglobulins, hepatitis serology ... , HIV serology, ... #causes
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
hyperreactivity • Urologic ... • Hyponatremia ... Kidney stones caused ... kidney disease • Primary ... insipidus • Primary
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