10 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
and Workup Step ... Repeat the sodium ... HYPERVOLEMIC • CHF ... #Diagnosis #Workup ... #Algorithm #Nephrology
Hypernatremia - Diagnostic Evaluation Algorithm
Step 1: Consider history. Most patients presenting with hypernatremia are either very
Diagnostic Evaluation ... Algorithm Step ... #Diagnosis #Workup ... #Evaluation #Algorithm ... #Sodium
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... Evaluation Algorithm ... Check Uosm and/or Urine ... #Diagnosis #Workup ... #Evaluation #Algorithm
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Diabetes Insipidus Workup ... #Management #Algorithm ... #Sodium #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... Check Urine Osmolality ... #Algorithm #nephrology ... #sodium
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
intravenous; SGLT2‐I, sodium–glucose ... ultrafiltration; UO, urine ... Diuretic #Diuresis #CHF ... #HeartFailure #Cardiology ... #Management
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
3 questions to work ... Measure urine osmolality ... include vaptans (HF ... Diagnosis #Treatment #management ... #nephrology #sodium
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 • 6-20% of patients with psychiatric disorders - Most commonly
• Symptomatic hyponatremia ... intoxication Initial Workup ... Osm, Serum Sodium ... , Urine Sodium ... Polydipsia #diagnosis #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
status and low urine ... are excellent at evaluating ... #differential #algorithm ... #management #cardiology ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... disease b) CHF ... event, follow ACC algorithm ... one post op Cardiology ... medical and surgical management