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diagnosis algorithm differential sodium hypernatremia syndrome causes cerebral comparison cushings diabetes diabeticketoacidosis dka gitelman hypercortisolism hypokalemia hypotonic management physiologic saltwasting
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
examination, check urine ... uric acid: - Urine ... sodium low, uric ... - Urine sodium ... Algorithm #Diagnosis #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... Uric Acid - Low ... Diagnosis #Algorithm #nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
uric acid >4 • Urine ... Extra-renal losses • Urine ... uric acid >4 • Urine ... Nephrotic syndrome • Urine ... #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... 145 mmol/L High Urine ... mannitol, glucosuria Low ... Urine Osmolality ... #Nephrology #Differential
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Wasting vs SIADH - Pathophysiology ... → Increased urine ... SaltWasting #SIADH #Pathophysiology ... #diagnosis #nephrology ... #hyponatremia #
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... Algorithm 1) Check Urine ... Extrarenal Hypernatremia ... • Euvolemic (Low ... Workup #Algorithm #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... volume-based algorithm Urine ... can be high or low ... Primary polydipsia), Low ... table #sodium #nephrology
Diabetic Ketoacidosis (DKA) - Pathogenesis and Clinical Findings • Note: in DKA, body K+ is lost
renal function/urine ... produces them when low ... precipitant. 5) treat low ... DiabeticKetoacidosis #DKA #pathophysiology ... #endocrinology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
is decreased), hypernatremia ... ↑ 24-hour urine ... levels following a low-dose ... signs #symptoms #endocrinology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
alkalosis • Normal or low ... Hypocalciuria (spot urine ... Syndrome #diagnosis #nephrology ... #management #pathophysiology
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