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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 Present (Uosm ... differential #diagnosis #table
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
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
Differential Diagnosis Algorithm ... Diuresis (Urine Osm ... <100 mOsm/kg) ... 100-200 mOsm/kg ... Differential #Diagnosis #Algorithm
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg) Assess Volume Status,
Hypotonic HypoNatremia Algorithm ... 135 meq/L, serum Osm ... < 275 mosm/kg) ... Urine Na, Urine Osm ... #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
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
Hyperglycemic Crisis - Algorithm for DKA/HHS Diagnostic criteria for DKA: • pH < 7.3 • Anion gap
Hyperglycemic Crisis - Algorithm ... mg/dL • Serum osm ... > 320 mOsm/kg ... Hyperglycemic #Crisis #Algorithm
Hyponatremia Differential Diagnosis Table • Step 1: Correct for hyperglycemia. Corrected Na = [(glucose - 100)/
Differential Diagnosis Table ... BMP • Serum Osm ... • Urine Osm ... Differential #Diagnosis #Table
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