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hyponatremia diagnosis algorithm clinical differential management pneumonia pulmonary treatment airbronchograms cancer cerebral comparison hypotonic low oncology pathophysiology physiologic saltwasting table
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
restriction alone in SIADH ... or Ineffective (UNa ... , Renal Sodium loss ... solute intake, UNa ... #nephrology
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... pain, primary lung ... promoting passive sodium ... SatyaPatelMD #SIADH ... #hyponatremia #nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Salt Wasting vs SIADH ... Neurological event 2) Sodium ... reabsorption 5) ↓ Na ... #SaltWasting #SIADH ... Pathophysiology #diagnosis #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
- RAAS ON (UNa ... - RAAS OFF (UNa ... > 30): SIADH, Medications ... Algorithm #diagnosis #sodium ... #nephrology
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... Pain, Primary lung ... promoting passive sodium ... osmolality < 538 AND UNa ... #hyponatremia #nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
acid >4 • Urine Na ... losses • Urine Na ... uric acid <4 • SIADH ... algorithm #diagnosis #sodium ... #low #nephrology
Pneumonia on Point of Care Ultrasound (POCUS) Haitian woman fever, cough & this clip => PNA &
Care Ultrasound (POCUS ... & this clip => PNA ... #Pneumonia #AirBronchogram ... #POCUS #Clinical ... #Lung #Pulmonary
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 Pneumonia with Air Bronchograms on Lung POCUS This patient presents with shortness of breath. What is your
Bronchograms on Lung ... POCUS This patient ... this pt with LUL pna ... #Pneumonia #AirBronchograms ... #Lung #POCUS #Pulmonary
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 Hyponatremia Differential Diagnosis Algorithm in Cancer UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Vasopressin-dependent - UNa ... following HSCT) - UNa ... inappropriate • SIAD ... tumors, brain or lung ... Cancer #algorithm #nephrology
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