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hyponatremia diagnosis algorithm differential nephrology sodium causes table adh ebv hypotonic hypovolemia low osmolality physiologic raas siadh thiazides unaa workup
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hypovolemia #EBV #potomania
Diagnostic Approach to Hyponatremia Box A: • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose • Pseudohyponatremia:
Na intake, Beer Potomania
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Syndrome, Beer Potomania
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
solute intake, Beer potomania
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Polydipsia - Beer Potomania
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
polydipsia - Beer potomania
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
solute intake (Beer potomania
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Euvolemia: SIADH, Beer Potomania
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