Diagnostic Approach to Hyponatremia Box A: • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose • Pseudohyponatremia: Triglycerides, Cholesterol, IVIG or gammapthies • Ineffective Osmoles: Urea, Alcohol, Ethlene Glycole Box B: Vomiting, GCS < 8, Somnolence, Seizures, Confusion Box C: Primary Polydipsia, Low Na intake, Beer Potomania - Dr. Jonny Wilkinson @Wilkinsonjonny #Hyponatremia #Diagnosis #Algorithm #workup