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diagnosis differential management causes treatment nephrology ddxof peds workup cardiology hematology gastroenterology pulmonary evaluation em pediatrics endocrinology criticalcare neurology dermatology
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... UOsm ≥ POsm - ... Cortisol deficiency UOsm ... < POsm - Vasopressin-independent ... #differential #algorithm
Pathophysiology Based Approach to Hyponatremia - Diagnostic Algorithm Not the "classic" Volume based approach. #Hyponatremia #Algorithm #Pathophysiology
Hyponatremia - Diagnostic Algorithm ... #Hyponatremia #Algorithm ... Differential #Nephrology #UOsm
Hypernatremia - Diagnostic Evaluation Algorithm Step 1: Consider history. Most patients presenting with hypernatremia are either very
Diagnostic Evaluation Algorithm ... Step 2: Check Uosm ... using initial Uosm ... Workup #Evaluation #Algorithm
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Hyponatremia: • ADH ON (UOsm ... wasting • ADH OFF (UOsm ... #Hyponatremia #Algorithm
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Diagnostic Evaluation Algorithm ... Consider whether Posm ... Step 2: Check Uosm ... Workup #Evaluation #Algorithm
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... • ADH Present (Uosm ... be high or low Uosm ... ADH Not Present (Uosm ... • ADH Present (Uosm
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... ) Euvolemic • UOsm ... Toast Diet • UOsm ... Differential #Diagnosis #Algorithm
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Differential Diagnosis Algorithm ... #2 - Assess the Uosm ... Hypernatremia #Management #Algorithm
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Differential Diagnosis Algorithm ... Loss - DDAVP -> Uosm ... Insipidus - DDAVP -> Uosm ... Differential #Diagnosis #Algorithm
Hyponatremia Treatment Algorithm CHF, Cirrhosis - Fluid restriction SIADH - Fluid restriction - Consider salt tablets if etiology
Hyponatremia Treatment Algorithm ... reversible - If Uosm ... Hyponatremia #Treatment #Algorithm
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