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diagnosis nephrology differential adrenal bronchiolitis congenitalheartdisease hypernatremia hypotonic insufficiency management peds physiologic table workup
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
to Hyponatremia ... Cerebral salt wasting ... Hypothyroidism, Low ... algorithm #diagnosis ... #sodium #low #nephrology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
pain, dizziness, volume ... , hypotension, hyponatremia ... , hypoglycemia Testing ... ACTH) stimulation test ... #endocrinology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... Cerebral salt wasting ... Primary polydipsia, Low ... solute intake, ... #sodium #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... mechanism 2) Volume ... • Euvolemic (Low ... Matthew Ho, MD PhD ... #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine ... : SIADH, Renal Sodium ... can be high or low ... Cerebral Salt Wasting ... #nephrology
Patients with CHD are exceptionally sensitive to the effects of bronchiolitis on their volume status Four principles
Patients with CHD ... bronchiolitis on their volume ... Give IV sodium bicarbonate ... saturation is very low ... Management #Peds #Pediatrics
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