41 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... administration Step 3. ... failure #Hypernatremia ... Workup #Algorithm #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... Pain/Post-op • Neurologic ... Hypothyroidism • Adrenal ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... Pain/Post-op • Neurologic ... Hypothyroidism • Adrenal ... #Nephrology #Differential
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Hypothyroidism, adrenal ... thecurbsiders #Hyponatremia ... #Differential # ... Algorithm #causes #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Urine Osmolarity 3) ... High Uric Acid → renal ... #Differential # ... Diagnosis #Algorithm #nephrology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis ... , hypotension, hyponatremia ... Insufficiency #Differential ... Diagnosis #Algorithm #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... hypoglycemia, Hyponatremia ... if value is < 3, ... /inconclusive (3- ... Stimulation #StimTest #Endocrinology
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Differential Diagnosis ... Evaluation of Hyponatremia ... confusion, seizures) 3) ... cardiac, liver, renal ... EM #IM #Nephro #Hyponatremia
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... solute intake, Renal ... @NephroMD #hyponatremia ... #diagnosis #differential ... algorithm #causes #nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Uglucose Step #3 ... DrEricStrong #Hypernatremia ... Algorithm #Sodium #nephrology