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diagnosis differential causes hyponatremia acute aki hypernatremia low table abg acid acidbase anasarca base blood bloodgas disorders diuresis diuretics edema
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Diagnosis and Workup ... Repeat the sodium ... liver failure • nephrotic ... syndrome • renal ... #Algorithm #Nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
syndrome) Euvolemic ... Stress, Nausea, ... Pulmonary Diseases ... #diagnosis #nephrology ... #sodium
Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Differential Diagnosis Algorithm ... Overfill (Increased renal ... sodium retention ... • AKI/CKD • Nephrotic ... Acute Respiratory Distress
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Differential Diagnosis Algorithm ... Hypothyroidism, Stress ... , UNa < 20 • Nephrotic ... Differential #Diagnosis #Algorithm ... #Causes #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... GI losses • Renal ... Cirrhosis • Nephrotic ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... GI losses • Renal ... Cirrhosis • Nephrotic ... #Hyponatremia #Nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
failure, Cirrhosis, Nephrotic ... syndrome • Urine ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... mOsm/kg - Implies renal ... #Algorithm #nephrology ... #sodium
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... Algorithm and Differential ... Interstitial nephritis ... syndrome: troponin ... #Diagnosis #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
nephrolithiasis • Symptoms ... → Refer to Nephrology ... for renal biopsy ... cystoscopy • Refer to Nephrology ... #Workup #urology
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