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diagnosis nephrology hyponatremia differential management causes treatment hypernatremia table workup adh alkalosis assessment chloride ckd comparison constipation ebv enema epilepticus
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Uric Acid - Low ... Uric Acid → SIADH ... #nephrology #sodium ... #low #uricacid
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... OFF (UNa > 30): SIADH ... Primary polydipsia, Low ... #Hyponatremia #Algorithm ... #diagnosis #sodium
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... acid: - Urine sodium ... low, uric acid ... and uric acid low ... #Differential #Algorithm
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
uric acid <4 • SIADH ... Hypothyroidism, Low ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... restriction alone in SIADH ... Present (Uosm ≥100): SIADH ... , Renal Sodium loss ... can be high or low
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... Inappropriate - Consider: SIADH ... Primary polydipsia, Low ... #differential #algorithm
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... overload Urea powder ... promoting passive sodium ... SatyaPatelMD #SIADH
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... underlying cause of SIADH ... Urea powder • Induces ... promoting passive sodium ... SatyaPatelMD #SIADH
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... , SSRIs) - SIADH ... Differential #Diagnosis #Algorithm ... diagnosis #nephrology #sodium
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... Beer Potomania - Low ... insufficiency, SIADH ... Differential #Diagnosis #Algorithm
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