32 results
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... algorithm Urine ... : SIADH, Renal Sodium ... Cerebral Salt Wasting ... differential #diagnosis #table
Clinical Presentation and Diagnosis of Common Causes of Vaginitis

#Vaginitis #Differential #Diagnosis #Comparison #Table #Testing #Gynecology #OBGyn
Diagnosis of Common Causes ... Differential #Diagnosis #Comparison ... #Table #Testing
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Cerebral Salt Wasting ... Neurological event 2) Sodium ... → Subclinical volume ... Increased urine volume ... #hyponatremia #comparison
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Effective Circulating Volume ... ”) - Volume depletion ... Cerebral salt wasting ... Differential #Diagnosis #Table ... #Causes #Sodium
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Volume Based Approach ... Cerebral salt wasting ... SatyaPatelMD #Volume ... #Hyponatremia #algorithm ... #diagnosis #sodium
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... Hypovolemic - Give volume ... treat underlying cause ... Differential #Diagnosis #Algorithm ... diagnosis #nephrology #sodium
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
electrolyte abnormality caused ... body water in comparison ... the total body sodium ... among the possible causes ... in blood urea causes
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Saline (NS) - Comparison ... shift • Saline Causes ... Decreased GFR, urine volume ... • Saline May Cause ... increases interstitial volume
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Cerebral salt wasting ... polydipsia, Low solute ... #Hyponatremia #Algorithm ... #diagnosis #sodium
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... pain, dizziness, volume ... , hypoglycemia Testing ... Differential #Diagnosis #Algorithm