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Pathophysiology of hypotonic hyponatremia

by Helbert Rondon, MD @NephroMD

#hypotonic #hyponatremia #nephrology #algorithm #Pathophysiology
Pathophysiology of hypotonic ... @NephroMD #hypotonic ... #hyponatremia #nephrology ... #algorithm #Pathophysiology
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypo-osmolar Hypotonic ... HypoNatremia Algorithm ... #Hyponatremia #Algorithm ... #Diagnosis #Nephrology ... #Differential #Hypotonic
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Urologic irrigants Hypotonic ... #Hyponatremia #Algorithm ... diagnosis #sodium #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Physiologic Approach to Hypotonic ... have a case of hypotonic ... normal volume-based algorithm ... #Physiologic #Hypotonic ... table #sodium #nephrology
Causes of Polyuria - Differential Diagnosis Algorithm
Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min)
Osmotic
Differential Diagnosis Algorithm ... Primary polydipsia Hypotonic ... #Polyuria #Nephrology ... Differential #Diagnosis #Algorithm
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
- Differential Algorithm ... , Recent TURP Hypotonic ... #Differential #Algorithm ... diagnosis #causes #nephrology
Hyponatremia Differential Diagnosis Algorithm in Cancer
UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Differential Diagnosis Algorithm ... concentrated for hypotonic ... Diagnosis #Cancer #algorithm ... #nephrology #oncology
Hand Myotonia on Physical Exam

#Hand #Myotonia #PhysicalExam #clinical #video #neurology
Hand Myotonia on ... Exam #Hand #Myotonia ... clinical #video #neurology
Tongue Myotonia on Physical Exam

Delayed muscle relaxation was seen after tongue percussion.

#Tongue #Myotonia #PhysicalExam #clinical #video
Tongue Myotonia ... #Tongue #Myotonia ... clinical #video #neurology
Scarf Sign (Normal) on Physical Exam

The scarf sign is used to assess developmental age and muscle
chest; in the hypotonic ... clinical #video #hypotonia ... #hypotonic #peds