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diagnosis differential management treatment hypernatremia workup insipidus siadh causes cerebral clamp clinical comatose comparison cord di diabetes disease dislocation disorders
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
water retention 1) ... Serum Osmolarity 2) ... Urine Osmolarity 3) ... Acid → renal salt wasting ... #nephrology #sodium
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Workup Step #1 ... history Step #2 ... Uglucose Step #3 ... & desmopressin test ... #Sodium #nephrology
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Workup Step 1 ... Repeat the sodium ... Step 2. ... administration Step 3. ... #Nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Pathophysiology 1) ... Neurological event 2) ... Sodium loss from ... Pathophysiology #diagnosis #nephrology ... #hyponatremia #
DDAVP Clamp Protocol in Hyponatremia • Stop any maintenance fluids. • Start DDAVP 2 mcg IV
in Hyponatremia ... 2 mcg IV q8h • ... Start 3% NaCl (1 ... every 2 hours initially ... #management #nephrology
Hyponatremia Diagnostic Algorithm 1) Check serum osmolality 2) Check urine osmolality 3) ADH Dependent - Check volume status, urine
Algorithm 1) Check ... serum osmolality 2) ... urine osmolality 3) ... status, urine sodium ... #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
1) Is it hypotonic ... 2) Is ADH elevated ... augmentation with DDAVP ... Treatment #management #nephrology ... #sodium
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... 1) Check Urine ... renal mechanism 2) ... Diagnosis #Workup #Algorithm ... #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... +K / serum Na >1 ... : SIADH, Renal Sodium ... Cerebral Salt Wasting ... #nephrology
Diabetes Insipidus - Diagnosis Algorithm Tests: • Osmolality, Urine AND/OR • Osmolality, Serum or Plasma AND •
Tests: • Osmolality ... Plasma AND • Sodium ... Osmolality, Urine 1- ... 2 hrs post administration ... #nephrology #differential
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