Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Malignancy True hypovolemia ... #Nephrology #Differential ... #Diagnosis #Algorithm ... #Causes
Hyponatremia Diagnosis Algorithm
UOsm β‰₯ POsm - Vasopressin-Dependent
 β€’ UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... EABV) - Consider: Hypovolemia ... insufficiency ... #algorithm #causes ... #nephrology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Algorithm Clinical ... Weakness, fatigue, nausea ... , hypotension, hyponatremia ... , hyperkalemia,
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 β€’ Tea and Toast Syndrome, Beer Potomania - Low solute
Diagnosis Algorithm ... Hypothyroidism, adrenal ... insufficiency, ... #Algorithm #causes ... #nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... hypothyroidism β€’ adrenal ... insufficiency ... #Diagnosis #Workup ... #Algorithm #Nephrology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... Diagnosis Algorithm ... hypoglycemia, Hyponatremia ... , hyperkalemia, ... #Diagnosis #Algorithm
Renal Tubular Acidosis - Diagnosis Algorithm
 β€’ Hyperkalemic Type 4 RTA
 β€’ Hypokalemic Type 1 RTA
- Diagnosis Algorithm ... Type 4 RTA β€’ Hypokalemic ... insufficiency ... Tubular #Acidosis #Diagnosis ... #Algorithm #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Algorithm Defining ... the cause of hypokalemia ... #algorithm #causes ... #nephrology #potassium
CLINICAL MANIFESTATIONS 
OF ADRENAL INSUFFICIENCY. 

Primary and secondary adrenal insufficiency:
 - Tiredness, weakness, mental depression
INSUFFICIENCY. ... insufficiency: ... hypotension - Nausea ... , diarrhea - Hyponatremia ... Hyperpigmentation - Hyperkalemia
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Insufficiency, ... Present (Uosm β‰₯100): Hypovolemia ... #differential #diagnosis ... table #sodium #nephrology