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 ... sodium and serum ... - Urine sodium ... #Differential # ... Algorithm #Diagnosis #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... Sodium 4) Serum ... #Differential #
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
osmolality 2) Check urine ... volume status, urine ... sodium, uric acid ... Diagnosis #Algorithm #differential ... nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... : SIADH, Renal Sodium ... #differential # ... diagnosis #table #sodium ... #nephrology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... history, exam, and urine ... DI; high dilute urine ... , Dehydration: neurologic ... #sodium
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
approach to the differential ... Measure urine osmolality ... #Differential # ... Treatment #management #nephrology ... #sodium
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
sodium is typically ... the excretion of sodium ... and potassium acid ... #Algorithm #nephrology ... #differential #
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 β€’ 6-20% of patients with psychiatric disorders - Most commonly
β€’ Symptomatic hyponatremia ... hypothalamic thirst center ... diabetes insipidus Differential ... Osm, Serum Sodium ... , Urine Sodium
Hyponatremia Differential Diagnosis Algorithm in Cancer
UOsm β‰₯ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Hyponatremia Differential ... Diagnosis Algorithm in Cancer ... 100 mOsm/kg = Urine ... #Differential # ... #algorithm #nephrology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Involves large and medium ... systemic sx + signs ... very remarkable w/differential ... GCA #Temporal #Signs