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Diagnosis and Management of Hypernatremia

#Hypernatremia #Differential #Algorithm #Causes #Nephrology #Diagnosis

** GrepMed Recommended Text: Nephrology Secrets -
Management of Hypernatremia ... #Hypernatremia ... Differential #Algorithm #Causes ... #Nephrology #Diagnosis ... Recommended Text: Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... osmole intake #Hyponatremia ... #Nephrology #Differential ... Diagnosis #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... osmole intake #Hyponatremia ... #Nephrology #Differential ... Diagnosis #Algorithm #Causes
Bell's palsy
There are many different causes of Facial Nerve Palsy. However, the commonest
cause of unilateral facial
many different causes ... the commonest cause ... Loss of Corneal Reflex ... #Bells #Palsy #Neurology
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
: • Causes can ... volume overload Urea ... into ammonium by urease-producing ... SIADH #Management #hyponatremia ... #nephrology #treatment
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
proteinuria, RBC casts ... → Refer to Nephrology ... cystoscopy • Refer ... to Nephrology if ... cause not identified
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... ADH promotes Urea ... Rachel Stern MD #Hyponatremia ... Diagnosis #Algorithm #nephrology
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... @NephroMD #hyponatremia ... differential #algorithm #causes ... #nephrology
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... administration #Hypernatremia ... Differential #Diagnosis #Causes ... #nephrology #sodium
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... thecurbsiders #Hyponatremia ... Diagnosis #Algorithm #causes ... #nephrology