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diagnosis nephrology differential hypernatremia low 1 2 cerebral di hypotonic insipidus lazy management pathophysiology physiologic saltwasting table uricacid volume workup
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Diagnosis Algorithm ... Urine Osmolarity 3) ... Low Uric Acid → SIADH ... Acid → renal salt wasting ... #nephrology #sodium
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Cerebral Salt Wasting ... Neurological event 2) Sodium ... from tubules 3) ... #hyponatremia # ... comparison
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... OFF (UNa > 30): SIADH ... Cerebral salt wasting ... #Algorithm #diagnosis ... #sodium #nephrology
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Repeat the sodium ... administration Step 3. ... EUVOLEMIC • SIADH ... Diagnosis #Workup #Algorithm ... #Nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Based Approach to Hyponatremia ... Cerebral salt wasting ... uric acid <4 • SIADH ... #algorithm #diagnosis ... #sodium #low #nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Uglucose Step #3 ... & desmopressin test ... #Sodium #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... restriction alone in SIADH ... , Renal Sodium loss ... Cerebral Salt Wasting ... #nephrology
A lazy man's classification of hyponatremia There are two possible approaches to the diagnosis of hyponatremia: .
essentially the same tests ... osmolality and urinary sodium ... the patient has SIADH ... cerebral salt wasting ... #Algorithm #Differential
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