27 results
Pathophysiology Based Approach to Hyponatremia - Diagnostic Algorithm

Not the "classic" Volume based approach. 

#Hyponatremia #Algorithm #Pathophysiology
Hyponatremia - Diagnostic Algorithm ... the "classic" Volume ... #Hyponatremia #Algorithm ... #Differential #Nephrology
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypotonic HypoNatremia Algorithm ... mosm/kg) Assess Volume ... #Hyponatremia #Algorithm ... #Diagnosis #Nephrology
Proximal aorta longitudinal view demonstrating the abdominal aorta (red arrows), the celiac trunk (yellow arrow) and
Proximal aorta longitudinal ... the abdominal aorta ... of the spinal column ... Radiology #Vasc #POCUS ... #Aorta #Celiac
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... in addition) of volume ... #Differential #Algorithm ... #Diagnosis #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 ... #sodium #low #nephrology
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
kaliuresis step 1 = volume ... diuretics #diuresis #nephrology ... #algorithm
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Assess volume status ... • extra-renal volume ... fevers • renal volume ... Diagnosis #Workup #Algorithm ... #Nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Differential Diagnosis Algorithm ... Volume Depleted ... Gitelman Syndrome Volume ... Differential #Diagnosis #Algorithm ... #Nephrology #Causes
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... Hypovolemic - Give volume ... 200 - Inadequate Solute ... Differential #Diagnosis #Algorithm ... #diagnosis #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Differential Diagnosis Algorithm ... Volume Depleted ... Gitelman Syndrome Volume ... Differential #Diagnosis #Algorithm ... #nephrology