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diagnosis differential causes sodium acth hypernatremia management stimulation acute allergy eosinophilia hypotonic infectious infectiousdiseases injury kidney physiologic primary secondary steroids
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... • Reduced GFR, AKI ... Hypothyroidism • Adrenal ... insufficiency ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... • Reduced GFR, AKI ... Hypothyroidism • Adrenal ... insufficiency ... #Nephrology #Differential
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
and Workup Step ... hypothyroidism • adrenal ... insufficiency ... • nephrotic syndrome ... #Algorithm #Nephrology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... primary OR secondary AI ... primary or secondary AI ... High = primary AI ... #Adrenal #Insufficiency
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Insufficiency - ... Polyglandular Autoimmune Syndrome ... #Insufficiency ... #AI #Differential ... #Causes #endocrinology
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Tea and Toast Syndrome ... insufficiency, ... #causes #nephrology
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
Adrenal Insufficiency ... In secondary AI ... diagnostic of AI ... least 18 excludes AI ... diagnostic of AI
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
specificity for AI ... > 15 excludes AI ... have diagnosed AI ... primary vs secondary AI ... #Stimulation #Endocrinology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Hypothyroidism, Adrenal ... Insufficiency, ... Cirrhosis, Nephrotic syndrome ... table #sodium #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... Cirrhosis, Nephrotic syndrome ... Hypothyroidism, Adrenal ... insufficiency, ... #sodium #nephrology
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