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Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg) Assess Volume Status,
Hypo-osmolar Hypotonic ... Assess Volume Status ... , Check Urine Na ... , Urine Osm # ... #Diagnosis #Nephrology
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... addition) of volume status ... sodium and serum ... #Differential #Algorithm ... #Diagnosis #Nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Hypertonic Hyponatremia ... Cirrhosis, Nephrotic syndrome ... #diagnosis #sodium ... #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 ... : SIADH, Renal Sodium ... Cirrhosis, Nephrotic syndrome ... #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
water loss, Serum Sodium ... 145 mmol/L High Urine ... 300 mmol/kg • Hypertonic ... glucosuria Low Urine ... Hypernatremia #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... 1) Check Urine ... mechanism 2) Volume Status ... , Cushing syndrome ... #nephrology #sodium
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
uric acid >4 • Urine ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
1) Is it hypotonic ... Measure urine osmolality ... demyelination syndrome ... #management #nephrology ... #sodium
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
- Differential Algorithm ... , Recent TURP Hypotonic ... Cirrhosis, Nephrotic Syndrome ... diagnosis #causes #nephrology ... #sodium #low
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... , Gitelman syndrome ... Normal acid-base status ... sodium is typically ... #Algorithm #nephrology
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