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diagnosis differential sodium alkalosis hypokalemia potassium secondary table diuresis diuretics excretion htn hyperkalemia hypertension hypotonic insufficiency intercellularshift managment medications metabolicalkalosis
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... GI losses • Renal ... • Reduced GFR, AKI ... osmole intake #Hyponatremia ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... GI losses • Renal ... • Reduced GFR, AKI ... osmole intake #Hyponatremia ... #Nephrology #Differential
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... • Renal Failure ... Hypovolemic - GI losses, renal ... thecurbsiders #Hyponatremia ... #causes #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... UNa > 20: • Renal ... Bicarbonaturia with renal ... Cardiac failure #Hyponatremia ... #Causes #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... of hypotonic hyponatremia ... ≥100): SIADH, Renal ... Physiologic #Hypotonic #Hyponatremia ... table #sodium #nephrology
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Primary polydipsia, Low ... solute intake, Renal ... @NephroMD #hyponatremia ... #causes #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... mOsm/kg - Implies renal ... , Ingestion Renal ... Hypernatremia: ... #nephrology #sodium
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Based Approach to Hyponatremia ... Na <20: Extra-renal ... Urine Na >30: Renal ... SatyaPatelMD #Volume #Hyponatremia ... #sodium #low #nephrology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Extra-renal Losses ... intake • Metabolic ... loss (Diarrhea) Renal ... #causes #potassium ... #low #nephrology
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm GI Losses - Gastric • Vomiting • NG suction GI
Causes of Metabolic ... Chloridorrhea Renal ... • Penicillins Renal ... Licorice • Liddle's Syndrome ... MetabolicAlkalosis #NonGap #Nephrology
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