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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14 results
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
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Algorithm - Diabetes Insipidus ... Uglucose Step #3 ... Management #Algorithm #Sodium ... #nephrology #insipidus
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 #
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 β€’ 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 ... post-obstructive 3) ... Diabetes Insipidus ... #sodium
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis β†’
Neurological event 2) Sodium ... from tubules 3) ... β†’ Increased urine ... Pathophysiology #diagnosis #nephrology ... #hyponatremia #
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
osmolality 3) ADH ... 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 ... hours. 2) Serum sodium ... Increase in sodium ... L. 5) Monitor urine ... output for signs
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
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 β€’ 6-20% of patients with psychiatric disorders - Most commonly
β€’ Symptomatic hyponatremia ... Differential Diagnosis ... : Diabetes Insipidus ... Osm, Serum Sodium ... , Urine Sodium