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nephrology diagnosis management differential hypernatremia 1 2 di evaluation low polydipsia primary uricacid
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Osmolarity 3) Urine ... Sodium 4) Serum ... Low Uric Acid → SIADH
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Diagnosis Algorithm ... - Diabetes Insipidus ... Workup Step ... Uglucose Step #3 ... #Sodium #nephrology
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
and Workup Step ... Repeat the sodium ... administration Step 3. ... EUVOLEMIC • SIADH ... #Algorithm #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... Check Urine Osmolality ... Euvolemic: Diabetes insipidus ... #sodium
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Evaluation Algorithm ... Check Uosm and/or Urine ... Gravity Step 3: ... tests Step 5: If SIADH ... #Diagnosis #Workup
Primary Polydipsia Definition: Excessive volitional water intake Epidemiology: • 6-20% of patients with psychiatric disorders - Most commonly
• Symptomatic hyponatremia ... Pseudohyponatremia, SIADH ... intoxication Initial Workup ... Osm, Serum Sodium ... , Urine Sodium
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... hospitalization) 3. ... promoting passive sodium ... 0.9% NS • If Urine ... #Management #hyponatremia
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
history, exam, and urine ... DI; high dilute urine ... post-obstructive 3) ... Diabetes Insipidus ... management #nephrology #sodium
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... to work through ... Measure urine osmolality ... 3) Is it appropriate ... management #nephrology #sodium
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... Normalizes in SIADH ... • IF SIADH — ... #Management #algorithm ... #treatment #sodium
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