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algorithm differential hyponatremia causes acute aki hypernatremia management encephalopathy framework gitelman hypokalemia hypophosphatemia hypotonic injury kidney kidneyinjury pathophysiology phosphate physiologic
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
and Workup Step ... Repeat the sodium ... liver failure • nephrotic ... syndrome • renal ... #Nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Hypothyroidism, Low ... failure, Cirrhosis, Nephrotic ... syndrome • Urine ... Hyponatremia #algorithm #diagnosis ... #sodium #low #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Workup Algorithm ... mOsm/kg - Implies renal ... • Euvolemic (Low ... #nephrology #sodium
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
- Differential Diagnosis ... Beer Potomania - Low ... liver failure, nephrotic ... syndrome ... Algorithm #causes #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... and Differential Diagnosis ... Interstitial nephritis ... syndrome: troponin ... #nephrology #causes
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
can be high or low ... failure, Cirrhosis, Nephrotic ... syndrome) • ADH ... #differential #diagnosis ... #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
failure, Cirrhosis, Nephrotic ... syndrome - ... Primary polydipsia, Low ... Hyponatremia #Algorithm #diagnosis ... #sodium #nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
- Differential Diagnosis ... CHF, cirrhosis, nephrotic ... syndrome) Euvolemic ... , CNS Disease, Meds ... #nephrology #sodium
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential Diagnosis ... FEPO4 ≥ 5% - Renal ... • Normal or Low ... #phosphate #nephrology
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Liver Cirrhosis, Nephrotic ... Syndrome, Chronic ... Renal Failure, ... #causes #nephrology ... #sodium #low
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