Etiologies of Hypernatremia - Differential Diagnosis
GI losses / Insensible losses
Sodium Overload
Transcellular Movement of Water
Central Diabetes Insipidus (Decr ADH production or release)
- Idiopathic
- Neurosurgery
- Trauma
- Infiltrative disorders (e.g. sarcoidosis, histiocytosisX, granulomatosiswith polyangiitis)
- Malignancy
- CNS infections
- Various rare genetic/congenital disorders
Nephrogenic Diabetes Insipidus (Incr ADH sensitivity in kidneys)
- Medications (e.g. lithium, amphotericin, demeclocycline, ifosfamide, cisplatin)
- Chronic hypercalcemia
- Chronic hypokalemia
- Various renal diseases (e.g. renal amyloidosis, multiple myeloma Sjogren’ssyndrome, sickle cell disease)
- Various rare genetic disorders
- Pregnancy
Dr. Eric Strong https://twitter.com/DrEricStrong
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