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diagnosis differential algorithm hypernatremia hypomagnesemia hypomg magnesium management treatment workup adh classification crrt diuretics drugs ebv excretion high hyperkalemia hypokalemia
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... perspiration Renal ... • Osmotic diuresis ... Differential #Diagnosis #Causes ... #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... Sodium loss (diuretics ... can be high or low ... differential #diagnosis #table ... #sodium #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
mOsm/kg - Implies renal ... • Euvolemic (Low ... , Ingestion Renal ... Workup #Algorithm #nephrology ... #sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
> 30): SIADH, Medications ... (diuretics), Hypothyroidism ... Primary polydipsia, Low ... Algorithm #diagnosis #sodium ... #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... water loss, Serum Sodium ... administration • Osmotic diuresis ... mannitol, glucosuria Low ... #Nephrology #Differential
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
diarrhea / IBD Renal ... Loses - Medications ... Differential #Diagnosis #Low ... #Magnesium #Table ... Classification #Causes
Hypomagnesemia - Differential Diagnosis Renal Causes of Hypomagnesemia - Familial: Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Causes of Hypomagnesemia ... - Acquired: Medications ... transplant, Diuretic ... #nephrology #magnesium ... #low
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Kidney stones caused ... and euvolemic hyponatremia ... #Diuresis #Nephrology ... #Pharmacology #Medications ... #Table
Etiologies of Hypernatremia - Differential Diagnosis GI losses / Insensible losses Sodium Overload Transcellular Movement of Water Central Diabetes Insipidus
Etiologies of Hypernatremia ... Insensible losses Sodium ... in kidneys) - Medications ... Differential #Diagnosis #Table ... #Causes
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
• Hypovolemia: Diuretics ... Syndrome, Chronic Renal ... Algorithm #diagnosis #causes ... #nephrology #sodium ... #low
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