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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nephrology diagnosis algorithm management hypernatremia treatment alkalosis causes metabolic 1 3 arteritis cancer cerebral chloride comparison di diabetes gca giantcell
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential ... Algorithm - Diabetes Insipidus ... history Step #2 ... Management #Algorithm #Sodium ... #nephrology #insipidus
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 ... Serum Osmolarity 2) ... Urine Osmolarity ... 3) Urine Sodium ... #Differential #
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential ... #Differential # ... Diagnosis #Causes #nephrology ... #sodium #high
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
DI; high dilute urine ... , Dehydration: neurologic ... water unavailable 2) ... post-obstructive 3) Diabetes Insipidus ... #sodium
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Neurological event 2) ... Sodium loss from ... → Increased urine ... Pathophysiology #diagnosis #nephrology ... #hyponatremia #
Primary Polydipsia Definition: Excessive volitional water intake Epidemiology: • 6-20% of patients with psychiatric disorders - Most commonly
occurs in only 2- ... Differential Diagnosis ... : Diabetes Insipidus ... Osm, Serum Sodium ... , Urine Sodium
Hyponatremia Diagnostic Algorithm 1) Check serum osmolality 2) Check urine osmolality 3) ADH Dependent - Check volume status, urine
serum osmolality 2) ... volume status, urine ... sodium, uric acid ... Diagnosis #Algorithm #differential ... nephrology
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
for Treatment of Hyponatremic ... sodium should be ... Increase in sodium ... L. 5) Monitor urine ... output for signs
Diabetes Insipidus - Diagnosis Algorithm Tests: • Osmolality, Urine AND/OR • Osmolality, Serum or Plasma AND •
Diabetes Insipidus ... • Osmolality, Urine ... Plasma AND • Sodium ... 1-2 hrs post administration ... #differential
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