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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9 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm - Diabetes ... Uglucose Step #3 ... Management #Algorithm #Sodium ... #nephrology #insipidus
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 β€’ Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential ... diabetes insipidus ... Diagnosis #Causes #nephrology ... #sodium #high
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 #
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
history, exam, and urine ... DI; high dilute urine ... post-obstructive 3) ... Diabetes Insipidus ... #sodium
Diabetes Insipidus - Diagnosis Algorithm
Tests:
 β€’ Osmolality, Urine AND/OR
 β€’ Osmolality, Serum or Plasma AND
 β€’
Diabetes Insipidus ... β€’ Osmolality, Urine ... Plasma AND β€’ Sodium ... #Algorithm #nephrology ... #differential
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 β€’ 6-20% of patients with psychiatric disorders - Most commonly
insipidus Differential ... Diagnosis: Diabetes ... Insipidus, Impaired ... Osm, Serum Sodium ... , Urine Sodium
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
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-
metabolic acidosis β€’ Diabetic ... sodium is typically ... the excretion of sodium ... and potassium acid ... #differential #