Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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differential causes potassium sodium cancer neurology workup adrenal agents calcium cerebral chemotherapy disorders electrolytes endocrinology gravis hypocalcemia hypophosphatemia hypotonic insufficiency
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... EABV) - Consider: Hypovolemia ... Primary polydipsia, Low ... #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Uric Acid - Low ... Acid → renal salt wasting ... #Algorithm #nephrology
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... - Urine sodium low ... and uric acid low ... #Differential #Algorithm ... #Diagnosis #Nephrology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Algorithm Clinical ... , hypotension, hyponatremia ... , hyperkalemia, ... , hypoglycemia Testing ... insufficiency • Low
Cancer agents and Electrolyte Disorders • Hypocalcemia: Cisplatin from Low Mg, Cetuximab- due to low Mg Axitinib,
Disorders • Hypocalcemia ... Panitumumab- renal wasting ... Trastuzumab • Hyponatremia ... Trastuzumab • Hypokalemia ... #chemotherapy #diagnosis
Causes of Hypokalemia - Differential Diagnosis Algorithm Once pseudohypokalemia is ruled out, causes of hypokalemia can be
- Differential Diagnosis ... Algorithm Once ... filling of bucket (low ... #Algorithm #Causes ... #workup #nephrology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... #Differential #Diagnosis ... #Algorithm #causes ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Cerebral Salt Wasting ... Present (Uosm ≥100): Hypovolemia ... #differential #diagnosis ... table #sodium #nephrology
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... Gitelman's syndrome #Hypokalemia ... #Differential #Diagnosis ... #Algorithm #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... Malignancy True hypovolemia ... #Nephrology #Differential ... #Diagnosis #Algorithm
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