13 results
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... Algorithm Instead ... sodium low, uric ... uric acid low in ... #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Sodium 4) Serum ... #nephrology #sodium ... #low #uricacid
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Diagnosis Algorithm ... water loss, Serum Sodium ... mannitol, glucosuria Low ... kg • Diabetes Insipidus ... Hypernatremia #Nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Hypernatremia #Management ... #Algorithm #Sodium ... #nephrology #insipidus
Polyuria - Differential Diagnosis Algorithm
Polyuria = >3L Urine output / 24 hours
Urine osmolality = 2 (Na
Polyuria - Differential ... Diagnosis Algorithm ... nutrition), Azotemia LOW ... kg • Diabetes Insipidus ... #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - Differential ... 1) Check Urine ... • Euvolemic (Low ... Euvolemic: Diabetes insipidus ... #nephrology #sodium
Diabetes Insipidus - Diagnosis Algorithm
Tests:
 • Osmolality, Urine AND/OR
 • Osmolality, Serum or Plasma AND
 •
Diabetes Insipidus ... - Diagnosis Algorithm ... • Osmolality, Urine ... Plasma AND • Sodium ... #nephrology #differential
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... sodium is typically ... #Algorithm #nephrology ... #differential #
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 ... can be high or low ... #Hyponatremia #differential ... #nephrology
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 • 6-20% of patients with psychiatric disorders - Most commonly
Differential Diagnosis ... Osm, Serum Sodium ... , Urine Sodium ... Polydipsia #diagnosis #management ... #nephrology