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diagnosis differential nephrology oncology adh hyperkalemia hypernatremia hypotonic hypovolemia intercellularshift oncologic osmolality physiologic potomania raas siadh table thiazides unaa
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... water loss, Serum Sodium ... mannitol, glucosuria Low ... Urine Osmolality ... #Causes
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Algorithm UOsm ... Appropriate (↓ EABV ... ) - Consider: Hypovolemia ... Primary polydipsia, Low ... #causes #nephrology
Oncologic Emergencies - Differential Diagnosis Framework HEMATOLOGIC ONCOLOGIC EMERGENCIES: Hyperviscosity Syndrome: • Spontaneous bleeding • Shortness of breath
Hyperphosphatemia • Hyperkalemia ... renal failure • Hypocalcemia ... Vomiting, decreased urine ... coma SIADH: • Hyponatremia ... differential #diagnosis #cancer
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 ... can be high or low ... Present (Uosm ≥100): Hypovolemia
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
stimulated in states of low ... activated in states of low ... Measured urine sodium ... #RAAS #Hypovolemia ... #EBV #potomania
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... isolation) GI loss - Urine ... periodic paralysis EABV ... Differential #Diagnosis #Algorithm
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... : • Hypovolemia ... #diagnosis #causes ... #nephrology #sodium ... #low
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... nephron - TTKG > 7, Urine ... EABV (e.g., CHF ... #Causes
Hyponatremia Differential Diagnosis Algorithm in Cancer UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Hyponatremia Differential ... Diagnosis Algorithm ... in Cancer UOsm ... 100 mOsm/kg = Urine ... appropriate • Hypovolemia
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