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diagnosis nephrology management hypernatremia insipidus treatment adrenal arteritis causes classification comatose di endocrinology evaluation gca giantcell high hyperkalemia hypotonic insufficiency
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... water retention 1) ... Serum Osmolarity 2) ... Urine Osmolarity 3) ... #nephrology #sodium
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential ... - Diabetes Insipidus ... Workup Step #1 ... history Step #2 ... #Sodium #nephrology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening ... require Cosyntropin testing ... Step 3) Differentiate ... - Low ACTH is
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
1) Check Urine ... renal mechanism 2) ... • Euvolemic (Low ... • Euvolemic: Diabetes ... #nephrology #sodium
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) ... #differential # ... hyponatremia #nephrology
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 ... Cerebral Salt Wasting ... #differential # ... #nephrology
Diabetes Insipidus - Diagnosis Algorithm Tests: • Osmolality, Urine AND/OR • Osmolality, Serum or Plasma AND •
Diabetes Insipidus ... Plasma AND • Sodium ... Osmolality, Urine 1- ... 2 hrs post administration ... #nephrology #differential
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
1) Is it hypotonic ... 2) Is ADH elevated ... up to 3x in the setting ... #Differential # ... #sodium
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
water unavailable 2) ... post-obstructive 3) ... Diabetes Insipidus ... ([Na] / 140) - 1) ... #sodium
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... determine if stress test ... Orthopedic • Low ... Diabetes regimen ... surgery Stress Testing
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