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diagnosis differential management neurology hypernatremia epilepticus syndrome alkalosis low metabolic table workup 3 comparison convulsive insipidus pharmacology potassium protocol rhabdomyolysis
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
water retention 1) ... Serum Osmolarity 2) ... 3) Urine Sodium ... Low Uric Acid → SIADH ... #nephrology #sodium
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... addition) of volume status ... - Urine sodium ... #Differential #Algorithm ... #Diagnosis #Nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Pathophysiology 1) ... Neurological event 2) ... Sodium loss from ... → Increased urine ... #hyponatremia #
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Workup Step 1 ... Repeat the sodium ... Step 2. ... Assess volume status ... #Nephrology
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Step 1: Consider ... elevated Step 2: ... Check Uosm and/or Urine ... Assess volume status ... tests Step 5: If SIADH
Hyponatremia Diagnostic Algorithm 1) Check serum osmolality 2) Check urine osmolality 3) ADH Dependent - Check volume status, urine
Algorithm 1) Check ... serum osmolality 2) ... - Check volume status ... , urine sodium, ... #nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Based Approach to Hyponatremia ... uric acid <4 • SIADH ... SatyaPatelMD #Volume #Hyponatremia ... #algorithm #diagnosis ... #sodium #low #nephrology
Hyponatremia Differential Diagnosis Table • Step 1: Correct for hyperglycemia. Corrected Na = [(glucose - 100)/
Table • Step 1: ... Serum Osm • Urine ... FeNa) • Volume status ... Diagnosis #Table #nephrology ... #sodium
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... 1) Check Urine ... renal mechanism 2) ... Volume Status ... #nephrology #sodium
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
1) Is it hypotonic ... 2) Is ADH elevated ... Measure urine osmolality ... #management #nephrology ... #sodium
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