32 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... HYPERVOLEMIC • CHF ... renal failure #Hypernatremia ... Diagnosis #Workup #Algorithm
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia ... Differential Algorithm ... and hypervolemic hyponatremia ... low in euvolemic hyponatremia ... kidney_boy #True #Hyponatremia
Hyponatremia - Differential Diagnosis and Evaluation Algorithm
In addition to edema and urine concentration, always consider urine
Hyponatremia - Differential ... and Evaluation Algorithm ... always consider urine ... when evaluating hyponatremia ... amzn.to/3rEtbK8 #Hyponatremia
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypo-osmolar Hypotonic HypoNatremia ... Algorithm (Serum ... Status, Check Urine ... Na, Urine Osm ... #Hyponatremia
Diagnostic Approach to Hyponatremia
Box A:
 • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose
 • Pseudohyponatremia:
Diagnostic Approach to Hyponatremia ... Normo/hyperosmolar Hyponatremia ... 8, Somnolence, Seizures ... Wilkinsonjonny #Hyponatremia ... #Diagnosis #Algorithm
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... Rachel Stern MD #Hyponatremia
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... Reduced GFR, AKI/CRF ... Hypo-osmolar urine ... osmole intake #Hyponatremia
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... Hypernatremia ... 145 mmol/L High Urine ... glucosuria Low Urine ... Hyperventilation #Hypernatremia
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... Reduced GFR, AKI/CRF ... Hypo-osmolar urine ... osmole intake #Hyponatremia
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Evaluation of Hyponatremia ... nausea, confusion, seizures ... EM #IM #Nephro #Hyponatremia ... #Differential #Algorithm