Test injury testing neurology algorithm hyponatremia sodium differential table 1 diabetes preop 2

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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

Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid
ADH promotes Urea/uric acid excretion along with water

Hyponatremia Differential ... water retention 1) ... Serum Osmolarity 2) ... Acid → renal salt wasting ... #nephrology #sodium

Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
> 600 mOsm/kg - Implies extrarenal mechanism

Workup Algorithm ... 1) Check Urine ... renal mechanism 2) ... • Euvolemic: Diabetes ... #nephrology #sodium

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

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 ... #differential # ... diagnosis #table ... #sodium #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) ... status, urine sodium ... #differential # ... hyponatremia #nephrology

Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water

output is a clue). 1) ... water unavailable 2) ... post-obstructive 3) Diabetes ... ([Na] / 140) - 1) ... #sodium

Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be

Preop creatinine ... Preop creatinine ... event, follow ACC algorithm ... determine if stress test ... Diabetes regimen

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

Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
• Trauma:
- Immobilization
- Crush injury
- Compartment

Rhabdomyolysis - Differential ... Hyperuricemia • Hyponatremia ... per day until stable ... Rhabdomyolysis #Differential ... causes #treatment #nephrology

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