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diagnosis differential nephrology causes sodium cardiology criticalcare management workup adrenal clinica clinical clinicopathology comparison echocardiogram endocrinology features foamed hypernatremia hypokalemia
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic ... (UOsm < 100): Primary ... polydipsia, Low ... #Algorithm #diagnosis
Diagnostic Approach to Hyponatremia Box A: • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose • Pseudohyponatremia:
Diagnostic Approach to Hyponatremia ... Normo/hyperosmolar Hyponatremia ... Confusion Box C: Primary ... Polydipsia, Low ... #Diagnosis #Algorithm
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... Vasopressin-independent - Consider: Primary ... polydipsia, Low ... #differential #algorithm
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... water intake (Primary ... polydipsia), Low ... differential #diagnosis #table
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Based Approach to Hyponatremia ... Hypothyroidism, Low ... Glucocorticoid deficiency, Primary ... #algorithm #diagnosis ... #sodium #low #nephrology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypotension, hyponatremia ... Baseline plasma ACTH Low ... baseline ACTH - Primary ... insufficiency • Low
Hypernatremia Classification and Features According to Volume Status - Hypervolemic hypernatremia - Cushing's syndrome, Primary hyperaldosteronism,
Hypernatremia Classification ... - Hypervolemic hypernatremia ... Cushing's syndrome, Primary ... #Classification ... Diagnosis #Comparison #Table
A lazy man's classification of hyponatremia There are two possible approaches to the diagnosis of hyponatremia: .
A lazy man's classification ... of hyponatremia ... the diagnosis of hyponatremia ... osmolality and urinary ... #Algorithm #Differential
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
Ureterosigmoidostomy Urinary ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification
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