15 results
diagnosis nephrology differential sodium management treatment low ascites cancer complications edema evaluation generalized hepatology hyperkalemia hypotonic intercellularshift oncology physiologic table
Management and Complications of Cirrhosis and Ascites Ascites Workup Algorithm Ascites Management Refractory Ascites Hyponatremia Spontaneous Bacterial Peritonitis (SBP) Hepatic Hydrothorax AKI in
Ascites Workup Algorithm ... Refractory Ascites Hyponatremia ... Hepatic Hydrothorax AKI ... in Cirrhosis, HRS-AKI ... diagnosis #management #gastroenterology
Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Causes of Generalized ... sodium retention, Urine ... • NSAlDs • AKI ... Nephrotic syndrome • Cirrhosis ... Trauma #Edema #anasarca
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Urine Na+K / serum ... restriction alone in SIADH ... Heart failure, Cirrhosis
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... heart failure • Cirrhosis ... • Reduced GFR, AKI ... Hypo-osmolar urine ... #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... heart failure • Cirrhosis ... • Reduced GFR, AKI ... Hypo-osmolar urine ... #Causes
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Based Approach to Hyponatremia ... uric acid <4 • SIADH ... Heart failure, Cirrhosis ... SatyaPatelMD #Volume #Hyponatremia ... #algorithm #diagnosis
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... Heart failure, Cirrhosis ... Inappropriate - Consider: SIADH ... #causes #nephrology
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 ... tests Step 5: If SIADH ... considered likely, the cause
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... treat underlying cause ... (CHF, cirrhosis ... , SSRIs) - SIADH
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... Contraindicated in cirrhosis ... Saline: • If Urine ... SatyaPatelMD #SIADH ... #Management #hyponatremia
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