Test injury testing neurology algorithm hyponatremia sodium posterior 2 3 differential insipidus 1

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Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess

Hypernatremia Differential ... Workup Step #1 ... history Step #2 ... Uglucose Step #3 ... #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) ... Urine Osmolarity 3) ... #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 insipidus ... #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

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. ... Diagnosis #Workup #Algorithm

Cerebral Salt Wasting vs SIADH - Pathophysiology
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →

Pathophysiology 1) ... Neurological event 2) ... Sodium loss from ... tubules 3) Naturiesis ... #hyponatremia #

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

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

, Dehydration: neurologic ... water unavailable 2) ... post-obstructive 3) ... Diabetes Insipidus ... #sodium

Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR

and Management Algorithm ... : 1. ... Breath test for ... Workup #Management #Algorithm ... Transplant #diagnosis #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

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