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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True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... - Urine sodium ... #Differential # ... Algorithm #Diagnosis ... #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... water retention 1) ... Diagnosis #Algorithm ... #nephrology #sodium
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis β†’
Pathophysiology 1) ... Neurological event 2) Sodium ... β†’ Increased urine ... Pathophysiology #diagnosis ... #nephrology #hyponatremia
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Workup Step #1 ... #Management #Algorithm ... #Sodium #nephrology
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
Hyponatremia Diagnostic ... Algorithm 1) Check ... sodium, uric acid ... #Diagnosis #Algorithm ... hyponatremia #nephrology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... DI; high dilute urine ... patients at risk for cerebral ... #management #nephrology ... #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Urine Na+K / serum ... Na >1 is predictive ... #differential # ... diagnosis #table ... #sodium #nephrology
A lazy man's classification of hyponatremia
There are two possible approaches to the diagnosis of hyponatremia: .
serum osmolality, urine ... osmolality and urinary sodium ... patient has SIADH or cerebral ... #Diagnosis #Hyponatremia ... #Algorithm #Differential
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... 1) Is it hypotonic ... Measure urine osmolality ... #management #nephrology ... #sodium
Diabetes Insipidus - Diagnosis Algorithm
Tests:
 β€’ Osmolality, Urine AND/OR
 β€’ Osmolality, Serum or Plasma AND
 β€’
Algorithm Tests ... Plasma AND β€’ Sodium ... 1-2 hrs post administration ... #Algorithm #nephrology ... #differential