23 results
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Hyponatremia Algorithm Hypertonic ... - RAAS ON (UNa ... - RAAS OFF (UNa ... Algorithm #diagnosis #sodium ... #nephrology
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Hypernatremia - Differential ... water Extrarenal hypotonic ... salt intake: • Hypertonic ... Diagnosis #Causes #nephrology ... #sodium #high
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
have a case of hypotonic ... : SIADH, Renal Sodium ... #Hyponatremia #differential ... diagnosis #table #sodium ... #nephrology
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypo-osmolar Hypotonic ... Algorithm (Serum Na ... Algorithm #Diagnosis #Nephrology ... #Differential # ... Hypotonic
Visualizing Hypotonic Hyponatremia

 • UNa reveals RAAS activity.
 • UOsm reveals ADH activity.
 • ADH secretion
Visualizing Hypotonic ... Hyponatremia • UNa ... COREIMpodcast #Hypotonic ... Hyponatremia #Graph #nephrology ... #diagnosis #sodium
Hyponatremia Differential Diagnosis Table

 • Step 1: Correct for hyperglycemia. Corrected Na = [(glucose - 100)/
Hyponatremia Differential ... Corrected Na = [ ... #Hyponatremia #Differential ... Diagnosis #Table #nephrology ... #sodium
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Hypernatremia - Differential ... water loss, Serum Sodium ... 300 mmol/kg • Hypertonic ... Hypernatremia #Nephrology ... #Differential #
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
pain, primary lung ... • With lower Na ... promoting passive sodium ... osmolality < 538 AND UNa ... #hyponatremia #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... , Recent TURP Hypotonic ... Hypothyroidism Hypertonic ... diagnosis #causes #nephrology ... #sodium #low
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... pulm edema not PNA ... Differential Bilat ... Lung POCUS shows ... Lung POCUS invaluable