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algorithm hyponatremia management polyuria table treatment 1 2 3 classification di diabetes high hypotonic low physiologic primary types
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Workup Step ... Management #Algorithm #Sodium ... #nephrology #insipidus
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential ... Diagnosis Inadequate ... Diagnosis #Causes ... #nephrology #sodium
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... Repeat the sodium ... • psychogenic polydipsia ... #Diagnosis #Workup ... #Algorithm #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Euvolemic: Diabetes insipidus ... Diagnosis #Workup ... #Algorithm #nephrology ... #sodium
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... - Differential ... water loss, Serum Sodium ... kg • Diabetes Insipidus ... #Nephrology #Differential
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... treat underlying cause ... - Primary Polydipsia ... #diagnosis #nephrology ... #sodium
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
Polyuria - Differential ... Diagnosis Algorithm ... kg) • Primary Polydipsia ... Central Diabetes Insipidus ... #causes #nephrology
Primary Polydipsia Definition: Excessive volitional water intake Epidemiology: • 6-20% of patients with psychiatric disorders - Most commonly
Differential Diagnosis ... : Diabetes Insipidus ... intoxication Initial Workup ... , Urine Sodium ... #nephrology
Etiologies of Hypernatremia - Differential Diagnosis GI losses / Insensible losses Sodium Overload Transcellular Movement of Water Central Diabetes Insipidus
Etiologies of Hypernatremia ... - Differential ... Diagnosis GI losses ... Insensible losses Sodium ... #Causes
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Consider: Primary polydipsia ... #diagnosis #differential ... #algorithm #causes ... #nephrology
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