41 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Diagnosis and Evaluation ... Assessment of volume ... #Hyponatremia #Hypovolemic ... #Euvolemic #Hypervolemic ... #Differential #Algorithm
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... mechanism 2) Volume ... Hypernatremia: • Hypovolemic ... Diuretics, osmotic (solute ... Diagnosis #Workup #Algorithm
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... in addition) of volume ... uric acid high in hypovolemic ... and hypervolemic ... #Differential #Algorithm
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Volume Based Approach ... to Hyponatremia Hypovolemic ... Primary polydipsia Hypervolemic ... SatyaPatelMD #Volume ... #Hyponatremia #algorithm
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Assess volume status ... HYPOVOLEMIC • ... extra-renal volume ... psychogenic polydipsia HYPERVOLEMIC ... Diagnosis #Workup #Algorithm
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... Hypovolemic - Give ... volume Hypervolemic ... 200 - Inadequate Solute ... Differential #Diagnosis #Algorithm
POCUS Echocardiogram Volume Assessment

Echo provides increased accuracy and insight into volume state assessment. This grid illustrates
POCUS Echocardiogram ... state: - A hypervolaemic ... POCUS - minimum ... Assessment #Diagnosis #Comparison ... #Hypovolemic #Hypervolemic
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... Potomania - Low solute ... Dependent: • Hypovolemic ... • Hypervolemic ... Differential #Diagnosis #Algorithm
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
#Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low ... #Abdomen #Hypovolemic
Hypernatremia Classification and Features According to Volume Status
 - Hypervolemic hypernatremia - Cushing's syndrome, Primary hyperaldosteronism,
Features According to Volume ... Status - Hypervolemic ... Hypodipsia - Renal hypovolemic ... - Extrarenal hypovolemic ... Features #Diagnosis #Comparison