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Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... Assess volume status ... #Diagnosis #Workup ... #Algorithm #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... mOsm/kg - Implies renal ... thirst, Lack of access ... , Ingestion Renal ... #Algorithm #nephrology
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... intake: • Lack of access ... perspiration Renal ... Differential #Diagnosis #Causes ... #nephrology #sodium
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... GI losses • Renal ... Diagnosis #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... GI losses • Renal ... Diagnosis #Algorithm #Causes
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential ... Diabetes Insipidus Workup ... history Step #2 - Assess ... DrEricStrong #Hypernatremia ... Algorithm #Sodium #nephrology
Causes of Altered Level of Consciousness GCS < 7 - Differential Diagnosis Algorithm Brain Involvement - Hemispheric
Causes of Altered ... • Neoplastic Abscess ... • Neoplastic Abscess ... Excesses • Liver/Renal ... deficiency • Hyponatremia
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... proteinuria, RBC casts ... for renal biopsy ... if cause not identified ... Diagnosis #Algorithm #Workup
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... osmolarity If cause ... , HIV serology, ... #Injury #AKI #Workup ... #causes
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... Diagnosis Algorithm Hypernatremia ... consciousness • No access ... #Nephrology #Differential ... Diagnosis #Algorithm #Causes
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