Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute diet. Responds briskly to IV fluids. Treat with a high solute/protein diet. • Psychogenic Polydipsia - Responds to fluid restriction. • Renal Failure - Restrict fluid and dialyze. ADH Dependent: • Hypovolemic - GI losses, renal losses, or other losses. • Euvolemic - Hypothyroidism, adrenal insufficiency, SIADH. • Hypervolemic - Heart failure, liver failure, nephrotic syndrome. - The Curbsiders @thecurbsiders #Hyponatremia #Differential #Diagnosis #Algorithm #causes #nephrology