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nephrology diagnosis differential management causes comparison hypotonic pathophysiology physiologic
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Neurological event 2) Sodium ... Hypovolaemia → ADH ... reabsorption 5) ↓ Na ... #SaltWasting #SIADH ... diagnosis #nephrology #hyponatremia
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
(Uosm ≥100): SIADH ... , Renal Sodium loss ... Insufficiency, Cerebral ... solute intake, UNa ... differential #diagnosis #table
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
secretion (SIADH ... carcinoma of the lung ... osmostat - Cerebral ... Differential #Diagnosis #Table ... #Causes #Sodium
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
pain, primary lung ... promoting passive sodium ... osmolality < 538 AND UNa ... antagonists: • Blocks ADH ... #nephrology #treatment
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 ... vaptans) • Blocks ADH ... #Management #hyponatremia
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