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diagnosis algorithm hyponatremia causes management treatment workup acute adh aki alkalosis chloride ebv hypophosphatemia hypotonic hypovolemia kidneyinjury metabolic oncology osmolality
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Uric Acid → SIADH ... #Differential # ... Diagnosis #Algorithm #nephrology ... #sodium #low #uricacid
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 Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Inappropriate - Consider: SIADH ... Primary polydipsia, Low ... #diagnosis #differential ... algorithm #causes #nephrology
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... low, uric acid ... and uric acid low ... #Differential # ... Algorithm #Diagnosis #Nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
restriction alone in SIADH ... , Renal Sodium loss ... can be high or low ... #differential # ... #nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Based Approach to Hyponatremia ... uric acid <4 • SIADH ... Hypothyroidism, Low ... algorithm #diagnosis #sodium ... #low #nephrology
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Beer Potomania - Low ... insufficiency, SIADH ... #Differential # ... Algorithm #causes #nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... , SSRIs) - SIADH ... #Differential # ... Algorithm #diagnosis #nephrology ... #sodium
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... - Differential ... water loss, Serum Sodium ... mannitol, glucosuria Low ... #Nephrology #Differential
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... • Euvolemic (Low ... #Differential # ... Workup #Algorithm #nephrology ... #sodium
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