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hyponatremia differential causes low barre gitelman glomerular guillain guillainbarre hypernatremia hypokalemia hypotonic neurology pathophysiology physiologic proteinuria table treatment volume workup
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
CHF, cirrhosis, nephrotic ... syndrome) Euvolemic ... Potomania - Tea ... #Algorithm #diagnosis ... #nephrology #sodium
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Algorithm ADH ... Independent: • Tea ... liver failure, nephrotic ... syndrome ... #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... failure, Cirrhosis, Nephrotic ... syndrome - ... #diagnosis #sodium ... #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 Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Repeat the sodium ... liver failure • nephrotic ... syndrome • renal ... #Workup #Algorithm ... #Nephrology
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... hemolytic-uremic syndrome ... heart disease, ear ... #Algorithm #differential ... #syndrome #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... failure, Cirrhosis, Nephrotic ... syndrome) • ADH ... #differential #diagnosis ... #nephrology
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
- Differential Algorithm ... Liver Cirrhosis, Nephrotic ... Syndrome, Chronic ... #diagnosis #causes ... #nephrology #sodium
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
cases/100,000 per year ... • Weakness: Starts ... Guillain-Barre Diagnosis ... #diagnosis #management ... #treatment #neurology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... Hypocalciuria (spot ... #diagnosis #nephrology ... #management #pathophysiology
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