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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Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... - Cirrhosis Syndrome ... hemorrhage) - Pulmonary ... #Table #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... β€’ Drugs β€’ Pulmonary ... Uosm < 100 mmol/kg ... #Nephrology #Differential
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... β€’ nephrotic syndrome ... #Diagnosis #Workup ... #Algorithm #Nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... cirrhosis, nephrotic syndrome ... Stress, Nausea, Pulmonary ... UnremarkableLab #Hyponatremia ... #nephrology #sodium
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 β€’ Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Tea and Toast Syndrome ... #Differential #Diagnosis ... Algorithm #causes #nephrology
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... Overcorrection of Hyponatremia ... Demyelination Syndrome ... in water @ 3cc/kg ... rate #management #nephrology
Pulmonary Histoplasmosis Syndromes
 - Acute
 - Subacute
 - Chronic
 - Progressive Disseminated

https://pubmed.ncbi.nlm.nih.gov/32000281/

#Pulmonary #Histoplasmosis #Syndromes #diagnosis #comparison
Pulmonary Histoplasmosis ... Syndromes - Acute ... Histoplasmosis #Syndromes ... #diagnosis #comparison ... #table
Acute Kidney Injury (AKI) - Common Patterns on Urinalysis
 - Prerenal
 - ATN
 - AIN
 -
UTI - Nephrotic Syndrome ... - Nephritic Syndrome ... AKI #Urinalysis #diagnosis ... #table #comparison ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... Cirrhosis, Nephrotic syndrome ... #differential #diagnosis ... #table #sodium ... #nephrology
Etiologies of Hypernatremia - Differential Diagnosis
GI losses / Insensible losses
Sodium Overload
Transcellular Movement of Water
Central Diabetes Insipidus
Etiologies of Hypernatremia ... - Differential Diagnosis ... DrEricStrong #Hypernatremia ... #Differential #Diagnosis ... #Table #Causes