8 results
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
actually be normal or elevated ... Check Uosm and/or Urine ... tests Step 5: If SIADH ... considered likely, the cause ... #Diagnosis #Workup
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... treat underlying cause ... (CHF, cirrhosis ... Pulmonary Diseases ... , SSRIs) - SIADH
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... volume-based algorithm Urine ... , Renal Sodium loss ... can be high or low ... #differential #
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
FHH — check the urine ... FeCa <1 %) - Low ... #differential # ... endocrinology #calcium #elevated ... #evaluation #workup
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
helps to differentiate ... stimulated in states of low ... Measured urine sodium ... volume; UNa is elevated ... EBV #potomania #SIADH
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... • Euvolemia: SIADH ... Algorithm #diagnosis #causes ... #nephrology #sodium ... #low
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
is usually caused ... 3 questions to work ... 2) Is ADH elevated ... Measure urine osmolality ... management #nephrology #sodium
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
urine output. ... with presence of pulmonary ... Troponin may be elevated ... the determined cause ... #heartfailure #chf