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diagnosis differential causes hyponatremia management treatment criticalcare gitelman hypernatremia hypertension neurology rhabdomyolysis secondary acidosis acute aki calcium cardiology chf foamed
Initial Clinical and Laboratory Data Base for Defining Major Syndromes in Nephrology #Major #Syndromes #Nephrology #Diagnosis #Workup
Initial Clinical ... Defining Major Syndromes ... #Major #Syndromes ... #Workup #Differential ... #Table
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Cerebral salt wasting syndrome ... Hypothyroidism, Stress ... , Drugs, Syndrome ... • Nephrotic syndrome ... #Causes #nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
cirrhosis, nephrotic syndrome ... Stress, Nausea, ... Pulmonary Diseases ... #diagnosis #nephrology ... #sodium
Hypocalcemia Workup - Differential Diagnosis Algorithm • Low Magnesium, High Magnesium - Functional Hypoparathyroidism • High
Hypocalcemia Workup ... Differential Diagnosis Algorithm ... metastases, Hungry bone syndrome ... #Workup #Differential ... #nephrology #calcium
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Algorithm 1) ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... #Algorithm #nephrology ... #sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... ON (UNa < 30): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... #diagnosis #sodium ... #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Syndrome of Inappropriate ... • Drugs • Pulmonary ... Malignancy True hypovolemia ... • Nephrotic syndrome ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Syndrome of Inappropriate ... • Drugs • Pulmonary ... Malignancy True hypovolemia ... • Nephrotic syndrome ... #Hyponatremia #Nephrology
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Diagnosis and Workup ... Repeat the sodium ... • nephrotic syndrome ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Present (Uosm ≥100): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... differential #diagnosis #table ... #sodium #nephrology
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