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

Hypervolemic hypernatremia 
 - CHF
Glucocorticoid deficit - Hypokalemia ... SIADH Renal hypovolemic ... hyponatremia ... nephropathy Extrarenal hypovolemic ... hyponatremia
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Diagnosis Algorithm Hypovolemia ... wasting syndrome Hypovolemia ... renal failure Hypervolemia ... Cardiac failure #Hyponatremia
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Algorithm Isotonic Hyponatremia ... TURP Hypotonic Hyponatremia ... : • Hypovolemia ... polydipsia • Hypervolemia
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... HYPOVOLEMIC • ... renal failure #Hypernatremia
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia ... uric acid high in hypovolemic ... and hypervolemic hyponatremia ... low in euvolemic hyponatremia ... kidney_boy #True #Hyponatremia
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic Hyponatremia ... irrigants Hypotonic Hyponatremia ... ON (UNa < 30): Hypovolemia ... SatyaPatelMD #Hyponatremia
Hypernatremia Classification and Features According to Volume Status
 - Hypervolemic hypernatremia - Cushing's syndrome, Primary hyperaldosteronism,
Hypernatremia Classification ... Hypodipsia - Renal hypovolemic ... hypernatremia - ... - Extrarenal hypovolemic ... hypernatremia -
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Naturiesis → diuresis → hypovolaemia ... 4) Hypovolaemia ... urine volume, hypovolaemia ... diagnosis #nephrology #hyponatremia
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... EABV) - Consider: Hypovolemia ... @NephroMD #hyponatremia
Urine Electrolyte Interpretation - AKI, Hyponatremia, Hypokalemia and Non-Gap Metabolic Acidosis

#Urine #Electrolytes #Interpretation #ULytes #AKI #FENa
Interpretation - AKI, Hyponatremia ... , Hypokalemia and