45 results
diagnosis differential hyponatremia causes management hypokalemia treatment alkalosis low metabolic aki hypernatremia workup acute comparison gitelman nephrotic pathophysiology potassium primary
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
ADH promotes Urea ... Osmolarity 2) Urine ... Sodium 4) Serum ... Low Uric Acid → SIADH ... #nephrology #sodium
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
uric acid <4 • SIADH ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Algorithm for Management of SIADH with Fluid Restriction and Urea by Helbert Rondon, MD @NephroMD #SIADH #Management #algorithm
Algorithm for Management ... of SIADH with Fluid ... Restriction and Urea ... #treatment #urea ... #nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Salt Wasting vs SIADH ... Neurological event 2) Sodium ... → Increased urine ... #SaltWasting #SIADH ... Pathophysiology #diagnosis #nephrology
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... sodium and serum ... sodium low, uric ... #Differential #Algorithm ... #Diagnosis #Nephrology
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... volume overload Urea ... promoting passive sodium ... Saline: • If Urine ... #hyponatremia #nephrology
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Urea powder • Induces ... promoting passive sodium ... 0.9% NS • If Urine ... Hypotension, Increased urine ... #hyponatremia #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... , Renal Sodium loss ... Cirrhosis, Nephrotic syndrome ... #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Cirrhosis, Nephrotic syndrome ... OFF (UNa > 30): SIADH ... #diagnosis #sodium ... #nephrology
Algorithm for Differentiating Gitelman syndrome from Bartter syndrome • Urine Chloride • Urine Ca/Cr ratio Dr. Krithika
Algorithm for Differentiating ... • Urine Chloride ... • Urine Ca/Cr ... #Bartter #Algorithm ... #nephrology #hypokalemia
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