21 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 ... failure #Hypernatremia ... #Diagnosis #Workup
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... Workup Algorithm ... Extrarenal Hypernatremia ... Hypernatremia: ... #Workup #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Hypothyroidism • Adrenal ... Hypo-osmolar urine ... osmole intake #Hyponatremia ... #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Hypothyroidism • Adrenal ... Hypo-osmolar urine ... osmole intake #Hyponatremia ... #Algorithm #Causes
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Uric Acid - Low ... High Uric Acid → renal ... Rachel Stern MD #Hyponatremia
Causes of Altered Level of Consciousness GCS < 7 - Differential Diagnosis Algorithm

Brain Involvement - Hemispheric
Causes of Altered ... Algorithm Brain ... Metabolic Acidosis • Hypernatremia ... deficiency • Hyponatremia ... #Algorithm #Causes
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... Algorithm Hypernatremia ... mannitol, glucosuria Low ... Hyperventilation #Hypernatremia ... #Algorithm #Causes
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Based Approach to Hyponatremia ... Hypothyroidism, Low ... SatyaPatelMD #Volume #Hyponatremia ... #algorithm #diagnosis ... #sodium #low #nephrology
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Beer Potomania - Low ... thecurbsiders #Hyponatremia ... #Algorithm #causes
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... Check Uosm and/or Urine ... considered likely, the cause ... DrEricStrong #Hyponatremia ... #Diagnosis #Workup