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

Hypervolemic hypernatremia 
 - CHF
, Differential Diagnosis ... - CHF - Cirrhosis ... - Drugs - SIADH ... #Differential #Diagnosis ... #Table #Causes
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Heart failure, Cirrhosis ... Inappropriate - Consider: SIADH ... #diagnosis #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 ... Refractory Ascites Hyponatremia ... Complications #diagnosis
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 - 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
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... Heart failure - Cirrhosis ... ADH secretion (SIADH ... #Table #Causes
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
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... restriction alone in SIADH ... Present (Uosm ≥100): SIADH ... Heart failure, Cirrhosis ... #differential #diagnosis
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... Treat underlying cause ... of SIADH: Pain, ... Contraindicated in cirrhosis ... #Management #hyponatremia
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... • Cirrhosis - ... Normalizes in SIADH ... • IF SIADH — ... look for cause