22 results
Classification, Differential Diagnosis, and Features of Hyponatremia According to Volume Status 

Hypervolemic hypernatremia 
 - CHF
and Features of Hyponatremia ... Hypervolemic hypernatremia ... - CHF - Cirrhosis ... - Drugs - SIADH ... Diagnosis #Table #Causes
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Heart failure, Cirrhosis ... Inappropriate - Consider: SIADH ... @NephroMD #hyponatremia ... differential #algorithm #causes
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Management and Complications ... of Cirrhosis and ... Ascites Ascites Workup ... Algorithm Ascites Management ... Refractory Ascites Hyponatremia
Beta-Blockers in Cirrhosis
 • Pathophysiology
 • Indications:  Prevention of decompensation, Prevention of first variceal bleeding,
Beta-Blockers in Cirrhosis ... • Pathophysiology ... Prevention of first variceal ... Prevention of variceal ... #hepatology #management
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... tests Step 5: If SIADH ... considered likely, the cause ... DrEricStrong #Hyponatremia ... #Diagnosis #Workup
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Hyponatremia Treatment ... Algorithm CHF, Cirrhosis ... Fluid restriction SIADH ... DrEricStrong #Hyponatremia ... Treatment #Algorithm #Management
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... treat underlying cause ... (CHF, cirrhosis ... , SSRIs) - SIADH ... UnremarkableLab #Hyponatremia
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... : • Causes can ... Contraindicated in cirrhosis ... SatyaPatelMD #SIADH ... #Management #hyponatremia
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Heart failure - Cirrhosis ... ADH secretion (SIADH ... DrEricStrong #Hyponatremia ... Diagnosis #Table #Causes
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... of hypotonic hyponatremia ... restriction alone in SIADH ... Present (Uosm ≥100): SIADH ... Heart failure, Cirrhosis