1748 results
Pathophysiology Based Approach to Hyponatremia - Diagnostic Algorithm

Not the "classic" Volume based approach. 

#Hyponatremia #Algorithm #Pathophysiology
Based Approach to Hyponatremia ... the "classic" Volume ... #Hyponatremia #Algorithm ... #Differential #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 ... fevers • renal volume ... Workup #Algorithm #Nephrology
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypo-osmolar Hypotonic HypoNatremia ... mosm/kg) Assess Volume ... Urine Osm #Hyponatremia ... Algorithm #Diagnosis #Nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia ... in addition) of volume ... and hypervolemic hyponatremia ... low in euvolemic hyponatremia ... Algorithm #Diagnosis #Nephrology
Hyponatremia Differential Diagnosis Table

 • Step 1: Correct for hyperglycemia. Corrected Na = [(glucose - 100)/
Hyponatremia Differential ... Na (FeNa) • Volume ... MatthewHoMD #Hyponatremia ... Diagnosis #Table #nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Volume Based Approach ... to Hyponatremia ... SatyaPatelMD #Volume ... #Hyponatremia # ... #sodium #low #nephrology
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
Hyponatremia Diagnostic ... Dependent - Check volume ... @kidney_boy #Hyponatremia ... #differential #hyponatremia ... #nephrology
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 #
Hypernatremia Classification and Features According to Volume Status
 - Hypervolemic hypernatremia - Cushing's syndrome, Primary hyperaldosteronism,
Hypernatremia Classification ... Features According to Volume ... - Hypervolemic hypernatremia ... - Normovolemic hypernatremia ... Comparison #Table #Nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... particular attention to volume ... Assess volume status ... in 100 mL boluses ... Treatment #management #nephrology