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differential hyponatremia potassium causes hyperkalemia hypokalemia hypotonic management physiologic polyuria table treatment true urine workup
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Workup Algorithm ... mechanism 2) Volume ... • Euvolemic (Low ... Euvolemic: Diabetes insipidus ... #nephrology #sodium
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... in addition) of volume ... low, uric acid ... and uric acid low ... #Diagnosis #Nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
to Hyponatremia ... Hypothyroidism, Low ... #Hyponatremia # ... algorithm #diagnosis ... #sodium #low #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Algorithm Hypernatremia ... water loss, Serum Sodium ... mannitol, glucosuria Low ... kg • Diabetes Insipidus ... #Diagnosis #Algorithm
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine ... Na+K / serum Na ... can be high or low ... #differential #diagnosis ... #nephrology
Polyuria - Differential Diagnosis Algorithm Polyuria = >3L Urine output / 24 hours Urine osmolality = 2 (Na
Algorithm Polyuria ... 2 (Na meq/L + K ... nutrition), Azotemia LOW ... kg • Diabetes Insipidus ... #Algorithm #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... Primary polydipsia, Low ... solute intake, ... #Algorithm #diagnosis ... #sodium #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... arterial blood volume ... • High Urine Cl ... #differential #algorithm ... #diagnosis #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Effective arterial volume ... tourniquet / IVF line draw ... ) • Optimize volume ... acidosis) • Low ... Treatment #potassium #nephrology
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