24 results
differential hyponatremia management algorithm treatment pharmacology renal rheumatology siadh syndromes abg acid acidbase alkalosis base bee bloodgas brain cancer cardiology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
treat underlying cause ... cirrhosis, nephrotic syndrome ... Pulmonary Diseases ... , CNS Disease, Meds ... #nephrology #sodium
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
- Cirrhosis Syndrome ... carcinoma of the lung ... ) - CNS pathology ... #Table #Causes ... #Sodium
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
Chorioretinitis • Diagnosis ... - Compatible syndrome ... lesions • 80% with lung ... #causes #radiology ... #neurology
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
pain, primary lung ... promoting passive sodium ... Saline: • If Urine ... bolus of 0.9% NS ... #hyponatremia #nephrology
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Treat underlying cause ... Pain, Primary lung ... promoting passive sodium ... • If Urine osmolality ... #hyponatremia #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
, Gitelman syndrome ... the indicated causes ... sodium is typically ... #Algorithm #nephrology ... #differential #diagnosis
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... Cirrhosis, Nephrotic syndrome ... #differential #diagnosis ... #table #sodium ... #nephrology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Anti-GBM antibody • Urine ... : UA, Urine protein ... recent DAN) • EMG/NCS ... Goodpasture's cause ... sparing of the lung
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