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459
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diagnosis
algorithm
differential
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the diagnostic
evaluation
... with polyuria
UOsm
... 2 × (Na + K) =
UOsm
... × (Na + K) <<
UOsm
... diagnosis #nephrology #
Uosm
Hypernatremia - Diagnostic
Evaluation
... Step 2: Check
Uosm
... using initial
Uosm
... Diagnosis #Workup #
Evaluation
Hyponatremia - Diagnostic
Evaluation
... Consider whether
Posm
... Step 2: Check
Uosm
... Diagnosis #Workup #
Evaluation
Diagnosis Algorithm
UOsm
... ≥
POsm
- Vasopressin-Dependent ... Cortisol deficiency
UOsm
... <
POsm
- Vasopressin-independent
Diuresis (Urine
Osm
... <100
mOsm
/kg) ... Diuresis (Urine
Osm
... 100-200
mOsm
/kg ... 300-500
mOsm
/kg
135 meq/L, serum
Osm
... < 275
mosm
/kg) ... Urine Na, Urine
Osm
IV) and monitor
UOsm
... • No Rise in
UOsm
... < 45% rise in
UOsm
... 15-50% rise in
UOsm
... CDI • Rise in
UOsm
• ADH Present (
Uosm
... be high or low
Uosm
... ADH Not Present (
Uosm
... • ADH Present (
Uosm
... ADH Not Present (
Uosm
Differential #Nephrology #
UOsm
diagnostic clues to
evaluating
... Febrile #Fever #
Evaluation
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