19 results
diagnosis hyponatremia algorithm differential clinical management treatment causes comparison pathophysiology pneumonia rheumatology ultrasound adh airbronchogram bags bilateral blines cancer cardiorenal
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
or Ineffective (UNa ... , Renal Sodium loss ... can be high or low ... solute intake, UNa ... #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
- RAAS ON (UNa ... > 30): SIADH, Medications ... Primary polydipsia, Low ... Algorithm #diagnosis #sodium ... #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Osmolarity 3) Urine Sodium ... Uric Acid - Low ... Uric Acid → SIADH ... Diagnosis #Algorithm #nephrology ... #sodium #low #uricacid
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
acid >4 • Urine Na ... uric acid <4 • SIADH ... Hypothyroidism, Low ... algorithm #diagnosis #sodium ... #low #nephrology
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Vasopressin-Dependent • UNa ... Cirrhosis • UNa ... Inappropriate - Consider: SIADH ... Primary polydipsia, Low ... algorithm #causes #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
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
How much sodium is in 1 Liter of Normal Saline? In Bags if Potato Chips
How much sodium ... saline = 0.9% sodium ... meq/L) x (23 mg Na ... meq) = 3,542 mg Na ... normal #saline #ns #nephrology
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 ... Lung POCUS shows ... a lot of B lines ... Lung POCUS invaluable
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