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nephrology clinical physicalexam reflex sign diagnosis differential algorithm sodium umn babinski bings chaddocks management siadh stranskys table treatment diuresis diuretics
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... heart failure • Cirrhosis ... osmole intake #Hyponatremia ... Diagnosis #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... heart failure • Cirrhosis ... osmole intake #Hyponatremia ... Diagnosis #Algorithm #Causes
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Heart failure, Cirrhosis ... @NephroMD #hyponatremia ... differential #algorithm #causes ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... treat underlying cause ... (CHF, cirrhosis ... UnremarkableLab #Hyponatremia ... Algorithm #diagnosis #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Nephrotic syndrome, Cirrhosis ... Cardiac failure #Hyponatremia ... Diagnosis #Algorithm #Causes ... #nephrology
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Treat underlying cause ... : • Causes can ... Contraindicated in cirrhosis ... SIADH #Management #hyponatremia ... #nephrology #treatment
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... time you have a case ... of hypotonic hyponatremia ... Heart failure, Cirrhosis ... table #sodium #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
failure, liver cirrhosis ... nephrotic syndrome • Hyponatremia ... Kidney stones caused ... and euvolemic hyponatremia ... Excretion #Diuresis #Nephrology
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Treat underlying cause ... administered • This can cause ... Contraindicated in cirrhosis ... SIADH #Management #hyponatremia ... #nephrology #treatment
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Algorithm Isotonic Hyponatremia ... Failure, Liver Cirrhosis ... Algorithm #diagnosis #causes ... #nephrology #sodium
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