6801 results
Pathophysiology Based Approach to Hyponatremia - Diagnostic Algorithm

Not the "classic" Volume based approach. 

#Hyponatremia #Algorithm #Pathophysiology
Hyponatremia - Diagnostic ... the "classic" Volume ... Pathophysiology #Diagnosis ... #Differential #Nephrology
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
mosm/kg) Assess Volume ... Hyponatremia #Algorithm #Diagnosis ... #Nephrology #Differential
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
→ Subclinical volume ... Increased urine volume ... Pathophysiology #diagnosis ... #nephrology #hyponatremia
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
- Differential Diagnosis ... Algorithm Volume ... Gitelman Syndrome Volume ... #Differential #Diagnosis ... #Algorithm #nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... Assess volume status ... • extra-renal volume ... Hypernatremia #Diagnosis ... Workup #Algorithm #Nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Volume Based Approach ... Hypothyroidism, Low solute ... SatyaPatelMD #Volume ... Hyponatremia #algorithm #diagnosis ... #sodium #low #nephrology
Hyponatremia Differential Diagnosis Table

 • Step 1: Correct for hyperglycemia. Corrected Na = [(glucose - 100)/
Hyponatremia Differential Diagnosis ... Na (FeNa) • Volume ... #Differential #Diagnosis ... #Table #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
- Differential Diagnosis ... Algorithm Volume ... Gitelman Syndrome Volume ... #Differential #Diagnosis ... #Algorithm #Nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
in addition) of volume ... Differential #Algorithm #Diagnosis ... #Nephrology
Causes of Polyuria - Differential Diagnosis
Excess Intake of Water:
 • Primary polydipsia (a.k.a. "psychogenic polydipsia")
 •
- Differential Diagnosis ... polydipsia") • Large volume ... without ↑ urine volume ... #Differential #Diagnosis ... #Causes #nephrology