14 results
diagnosis nephrology differential causes potassium hyperkalemia endocrinology high renal rta sodium tubular cosyntropin hypotonic k low management physiologic stimtest stimulation
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... , hypotension, hyponatremia ... , hyperkalemia, ... , hypoglycemia Testing ... ACTH) stimulation test
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... Malignancy True hypovolemia ... Hypothyroidism • Adrenal ... insufficiency
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... Malignancy True hypovolemia ... Hypothyroidism • Adrenal ... insufficiency
Renal Tubular Acidosis - Diagnosis Algorithm • Hyperkalemic Type 4 RTA • Hypokalemic Type 1 RTA
Renal Tubular Acidosis ... - Diagnosis Algorithm ... Type 4 RTA • Hypokalemic ... insufficiency ... #nephrology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Adrenal Insufficiency ... hypoglycemia, Hyponatremia ... , hyperkalemia, ... cosyntropin stimulation test ... interact with stim test
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
ON (UNa < 30): Hypovolemia ... Hypothyroidism, Adrenal ... insufficiency, ... Cerebral salt wasting ... #sodium #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Hypovolemia, UNa ... tubal acidosis ... Cerebral salt wasting ... #Causes #nephrology
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Algorithm UOsm ... EABV) - Consider: Hypovolemia ... solute intake, Renal ... insufficiency ... #causes #nephrology
Renal Tubular Acidosis - Differential Diagnosis Algorithm Decreased Serum K, Urine pH < 5.5 - Proximal RTA Decreased
Renal Tubular Acidosis ... Differential Diagnosis Algorithm ... Urine pH > 6.0 - Hypokalemic ... Tubulointerstitial injury ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Insufficiency, ... Cerebral Salt Wasting ... Present (Uosm ≥100): Hypovolemia ... table #sodium #nephrology
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