127 results
Classification, Differential Diagnosis, and Features of Hyponatremia According to Volume Status 

Hypervolemic hypernatremia 
 - CHF
and Features of Hyponatremia ... Hypervolemic hypernatremia ... Normovolemic hyponatremia ... - Drugs - SIADH ... Diarrhea #Hyponatremia
Hyponatremia - Differential Diagnosis
DRUGS
SIADH
ENDOCRINOPATHIES
"TEA AND TOAST"

- Kiara Camacho @kiaracamacho96

#Hyponatremia #Differential #Diagnosis #causes
Hyponatremia - Differential ... Diagnosis DRUGS SIADH ... kiaracamacho96 #Hyponatremia
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... EUVOLEMIC • SIADH ... renal failure #Hypernatremia
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Salt Wasting vs SIADH ... #SaltWasting #SIADH ... diagnosis #nephrology #hyponatremia
#fractionalexcretionuricacid #siadh #uricacid #feuricacid #csw #hyponatremia #resetosmostat #feurate
fractionalexcretionuricacid #siadh ... feuricacid #csw #hyponatremia
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic Hyponatremia ... irrigants Hypotonic Hyponatremia ... OFF (UNa > 30): SIADH ... SatyaPatelMD #Hyponatremia
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Inappropriate - Consider: SIADH ... @NephroMD #hyponatremia
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Low Uric Acid → SIADH ... Rachel Stern MD #Hyponatremia
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... tests Step 5: If SIADH ... DrEricStrong #Hyponatremia
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Hyponatremia Treatment ... Fluid restriction SIADH ... DrEricStrong #Hyponatremia