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hyponatremia hypernatremia alkalosis causes chloride diabetes gitelman hypokalemia hypotonic management metabolic pathophysiology physiologic polyuria syndrome table true uricacid urinary workup
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Algorithm Instead ... sodium low, uric ... uric acid low in ... #Algorithm #Diagnosis ... #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Sodium 4) Serum ... #Diagnosis #Algorithm ... #nephrology #sodium
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Diagnosis Algorithm ... water loss, Serum Sodium ... mannitol, glucosuria Low ... kg • Diabetes Insipidus ... Diagnosis #Algorithm
Polyuria - Differential Diagnosis Algorithm Polyuria = >3L Urine output / 24 hours Urine osmolality = 2 (Na
Diagnosis Algorithm ... nutrition), Azotemia LOW ... kg • Diabetes Insipidus ... #Diagnosis #Algorithm ... #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Check Urine Osmolality ... • Euvolemic (Low ... Euvolemic: Diabetes insipidus ... #Algorithm #nephrology ... #sodium
Diabetes Insipidus - Diagnosis Algorithm Tests: • Osmolality, Urine AND/OR • Osmolality, Serum or Plasma AND •
Diabetes Insipidus ... - Diagnosis Algorithm ... Plasma AND • Sodium ... #Diagnosis #Algorithm ... #nephrology #differential
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... #Algorithm #nephrology ... #differential # ... diagnosis
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... #Hyponatremia #differential ... #diagnosis #table ... #sodium #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Muscle weakness, dizziness ... alkalosis • Normal or low ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... #nephrology #management
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