11 results
diagnosis nephrology differential endocrinology hypernatremia insufficiency low management treatment workup causes cosyntropin hyperkalemia hypotonic k physiologic potassium stimtest table uricacid
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
pain, dizziness, volume ... , hypotension, hyponatremia ... , hypoglycemia Testing ... hormone (ACTH) stimulation ... test AND • Baseline
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... Repeat the sodium ... volume loss ... Diagnosis #Workup #Algorithm ... #Nephrology
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... hypoglycemia, Hyponatremia ... around 6-8AM) – if value ... test: Steroids ... interact with stim test
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Volume Based Approach ... to Hyponatremia ... Cerebral salt wasting ... algorithm #diagnosis ... #sodium #low #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine ... Sodium loss (diuretics ... Hypothyroidism, Adrenal ... Cerebral Salt Wasting ... #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... Hypothyroidism, Adrenal ... Cerebral salt wasting ... polydipsia, Low solute ... #sodium #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... High Uric Acid → renal ... salt wasting By ... #nephrology #sodium
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... mechanism 2) Volume ... , Ingestion Renal ... Diagnosis #Workup #Algorithm ... #nephrology #sodium
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... tubal acidosis ... Cerebral salt wasting ... #Causes #nephrology
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... Tubular Acidosis ... Wilkinsonjonny #Hyponatremia ... #Management #algorithm ... #treatment #sodium
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