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nephrology differential management low treatment table anasarca ascites cancer complications edema evaluation generalized hepatology hyperkalemia hypernatremia hypotonic intercellularshift lazy oncology
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 ... Heart failure, Cirrhosis ... #differential #diagnosis
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Osmolarity 2) Urine ... Sodium 4) Serum ... Low Uric Acid → SIADH
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 ... #algorithm #diagnosis ... #sodium #low #nephrology
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 ... in Cirrhosis, HRS-AKI ... Complications #diagnosis ... #management #gastroenterology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Diagnosis Algorithm ... (CHF, cirrhosis ... , SSRIs) - SIADH ... #Algorithm #diagnosis ... #nephrology #sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... Heart failure, Cirrhosis ... OFF (UNa > 30): SIADH ... #Algorithm #diagnosis ... #sodium #nephrology
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 ... #Algorithm #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 ... #Algorithm #Causes
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... Heart failure, Cirrhosis ... Inappropriate - Consider: SIADH ... #algorithm #causes
Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Increased renal sodium ... retention, Urine ... • NSAlDs • AKI ... Nephrotic syndrome • Cirrhosis ... #Algorithm #Causes
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