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diagnosis differential nephrology causes classification comparison constipation enema fleet high hyperkalemia hypernatremia impaction management mineraloil oncology pharmacology physiologic potassium soapsuds
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... Urologic irrigants Hypotonic ... ON (UNa < 30): Hypovolemia ... Primary polydipsia, Low ... #sodium #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... can be high or low ... Present (Uosm ≥100): Hypovolemia ... differential #diagnosis #table
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... , Recent TURP Hypotonic ... • Hypovolemia: ... causes #nephrology #sodium ... #low
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
water loss, Serum Sodium ... 145 mmol/L High Urine ... 300 mmol/kg • Hypertonic ... mannitol, glucosuria Low ... Urine Osmolality
Hyponatremia Differential Diagnosis Algorithm in Cancer UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Diagnosis Algorithm ... in Cancer UOsm ... 100 mOsm/kg = Urine ... concentrated for hypotonic ... appropriate • Hypovolemia
Causes of Hyperkalemia l. Pseudohyperkalemia A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis B.
radiocontrast, hypertonic ... noncardioselective agents ... the epithelial sodium ... malignancy, metastatic cancer ... Drug-associated: heparin, low-molecular-weight
Enema Selection / Comparison Table A short guide for choosing which enema to order depending on the
Selection / Comparison Table ... Sodium Phosphate ... derangements, hypovolemia ... Contraindications: SIADH, Hyponatremia ... SoapSuds #MineralOil #Gastroenterology
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