Hyponatremia differential diagnosis: Difference between revisions
Jump to navigation
Jump to search
Iqra Qamar (talk | contribs) |
Iqra Qamar (talk | contribs) |
||
Line 9: | Line 9: | ||
{| class="wikitable" | {| class="wikitable" | ||
! rowspan="4" |Disease | ! rowspan="4" |Disease | ||
! colspan=" | ! colspan="11" |Clinical manifestations | ||
! colspan="8" |Paraclinical Findings | ! colspan="8" |Paraclinical Findings | ||
!Comments | !Comments | ||
|- | |- | ||
| colspan=" | | colspan="11" |Symptoms and Signs | ||
| colspan="7" |Lab Findings | | colspan="7" |Lab Findings | ||
| rowspan="3" |Imaging | | rowspan="3" |Imaging | ||
Line 19: | Line 19: | ||
|- | |- | ||
| rowspan="2" |Muscle weakness/ Cramps | | rowspan="2" |Muscle weakness/ Cramps | ||
| rowspan="2" | | | rowspan="2" |Oliguria | ||
| rowspan="2" |Vomiting/ Diarrhea | | rowspan="2" |Vomiting/ Diarrhea | ||
| rowspan="2" |Confusion/ Dizziness | | rowspan="2" |Confusion/ Dizziness | ||
| rowspan="2" |Volume status | | rowspan="2" |Volume status | ||
| rowspan="2" |JVP | | rowspan="2" |JVP | ||
Line 30: | Line 29: | ||
| rowspan="2" |Tachycardia | | rowspan="2" |Tachycardia | ||
| rowspan="2" |Hypotension | | rowspan="2" |Hypotension | ||
| rowspan="2" |CBC | | rowspan="2" |CBC | ||
| colspan="3" |Urine Analysis | | colspan="3" |Urine Analysis | ||
Line 42: | Line 40: | ||
|- | |- | ||
|Renal failure | |Renal failure | ||
| | |<nowiki>+/-</nowiki> | ||
| | |<nowiki>+/-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>+/-</nowiki> | ||
|Hypervolemic | |Hypervolemic | ||
| | |<nowiki>+</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | | | ||
|>20 | |>20 | ||
Line 66: | Line 62: | ||
|- | |- | ||
|Congestive heart failure | |Congestive heart failure | ||
| | |<nowiki>+/-</nowiki> | ||
| | | | ||
| | | | ||
| | | | ||
|Hypervolemic | |Hypervolemic | ||
| | | | ||
| | | | ||
Line 90: | Line 84: | ||
|- | |- | ||
|Cirrhosis | |Cirrhosis | ||
| | |<nowiki>+/-</nowiki> | ||
| | | | ||
| | | | ||
| | | | ||
|Hypervolemic | |Hypervolemic | ||
| | | | ||
| | | | ||
Line 114: | Line 106: | ||
|- | |- | ||
|SIADH | |SIADH | ||
| | |<nowiki>+/-</nowiki> | ||
| | | | ||
| | | | ||
| | | | ||
|Euvolemic | |Euvolemic | ||
| | | | ||
| | | | ||
Line 138: | Line 128: | ||
|- | |- | ||
|Hypothyroidism | |Hypothyroidism | ||
| | |<nowiki>+/-</nowiki> | ||
| | | | ||
| | | | ||
| | | | ||
|Euvolemic | |Euvolemic | ||
| | | | ||
| | | | ||
Line 162: | Line 150: | ||
|- | |- | ||
|Adrenal insufficiency | |Adrenal insufficiency | ||
| | |<nowiki>+/-</nowiki> | ||
| | | | ||
| | | | ||
| | | | ||
|Euvolemic | |Euvolemic | ||
| | | | ||
| | | | ||
Line 186: | Line 172: | ||
|- | |- | ||
|Psychogenic polydipsia | |Psychogenic polydipsia | ||
| | |<nowiki>+/-</nowiki> | ||
| | | | ||
| | | | ||
| | | | ||
|Euvolemic | |Euvolemic | ||
| | | | ||
| | | | ||
Line 210: | Line 194: | ||
|- | |- | ||
|Beer drinker's potomania | |Beer drinker's potomania | ||
| | |<nowiki>+/-</nowiki> | ||
| | | | ||
| | | | ||
| | | | ||
|Euvolemic | |Euvolemic | ||
| | | | ||
| | | | ||
Line 234: | Line 216: | ||
|- | |- | ||
|Pregnancy | |Pregnancy | ||
| | |<nowiki>+/-</nowiki> | ||
| | | | ||
| | | | ||
| | | | ||
|Euvolemic | |Euvolemic | ||
| | | | ||
| | | | ||
Line 258: | Line 238: | ||
|- | |- | ||
|Anorexia (Chronic malnutrition) | |Anorexia (Chronic malnutrition) | ||
| | |<nowiki>+/-</nowiki> | ||
| | | | ||
| | | | ||
| | | | ||
|Euvolemic | |Euvolemic | ||
| | | | ||
| | | | ||
Line 282: | Line 260: | ||
|- | |- | ||
|Diuretic induced hyponatremia | |Diuretic induced hyponatremia | ||
| | |<nowiki>+/-</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | | | ||
| | | | ||
|Hypovolemic | |Hypovolemic | ||
| | | | ||
| | | | ||
Line 306: | Line 282: | ||
|- | |- | ||
|Non oliguric ATN | |Non oliguric ATN | ||
| | |<nowiki>+/-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | | | ||
| | | | ||
|Hypovolemic | |Hypovolemic | ||
| | | | ||
| | | | ||
Line 330: | Line 304: | ||
|- | |- | ||
|Diseases causing 3rd spacing (Pancreatitis, SBO) | |Diseases causing 3rd spacing (Pancreatitis, SBO) | ||
| | |<nowiki>+/-</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | | | ||
| | | | ||
|Hypovolemic | |Hypovolemic | ||
| | | | ||
| | | | ||
Line 354: | Line 326: | ||
|- | |- | ||
|Gastroenteritis | |Gastroenteritis | ||
| | |<nowiki>+/-</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | | | ||
| | | | ||
|Hypovolemic | |Hypovolemic | ||
| | | | ||
| | | | ||
Line 378: | Line 348: | ||
|- | |- | ||
|Sweating | |Sweating | ||
| | |<nowiki>+/-</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | | | ||
| | | | ||
|Hypovolemic | |Hypovolemic | ||
| | | | ||
| | | | ||
Line 402: | Line 370: | ||
|- | |- | ||
|Pseudohyponatremia | |Pseudohyponatremia | ||
| | |<nowiki>+/-</nowiki> | ||
| | | | ||
| | | |
Revision as of 17:01, 30 April 2018
Hyponatremia Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Hyponatremia differential diagnosis On the Web |
American Roentgen Ray Society Images of Hyponatremia differential diagnosis |
Risk calculators and risk factors for Hyponatremia differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Saeedeh Kowsarnia M.D.[2] Iqra Qamar M.D.[3]
Overview
Hyponatremia must be differentiated from other diseases that cause
Differentiating Hyponatremia from other Diseases
Disease | Clinical manifestations | Paraclinical Findings | Comments | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Symptoms and Signs | Lab Findings | Imaging | ||||||||||||||||||
Muscle weakness/ Cramps | Oliguria | Vomiting/ Diarrhea | Confusion/ Dizziness | Volume status | JVP | Edema | Crackles | Ascites | Tachycardia | Hypotension | CBC | Urine Analysis | Serum Osmolality | ADH levels | Other | |||||
Urine Na | Urine Osm | FeNa | ||||||||||||||||||
Renal failure | +/- | +/- | - | +/- | Hypervolemic | + | + | + | + | - | - | >20 | - | >1% | Normal or ↑ | |||||
Congestive heart failure | +/- | Hypervolemic | <10 | - | <1% | ↑ | ||||||||||||||
Cirrhosis | +/- | Hypervolemic | <10 | - | <1% | ↑ | ||||||||||||||
SIADH | +/- | Euvolemic | - | >100 | - | ↑ | ||||||||||||||
Hypothyroidism | +/- | Euvolemic | - | >100 | - | ↑ | ||||||||||||||
Adrenal insufficiency | +/- | Euvolemic | - | >100 | - | ↑ | ||||||||||||||
Psychogenic polydipsia | +/- | Euvolemic | - | <100 | - | ↑ | ||||||||||||||
Beer drinker's potomania | +/- | Euvolemic | - | <100 | - | ↓ | ||||||||||||||
Pregnancy | +/- | Euvolemic | - | Variable | - | ↓ | ||||||||||||||
Anorexia (Chronic malnutrition) | +/- | Euvolemic | - | Variable | - | - | ||||||||||||||
Diuretic induced hyponatremia | +/- | + | Hypovolemic | >20 | - | >1% | - | |||||||||||||
Non oliguric ATN | +/- | - | Hypovolemic | >20 | - | >1% | - | |||||||||||||
Diseases causing 3rd spacing (Pancreatitis, SBO) | +/- | + | Hypovolemic | <10 | - | <1% | - | |||||||||||||
Gastroenteritis | +/- | + | Hypovolemic | <10 | - | <1% | - | |||||||||||||
Sweating | +/- | + | Hypovolemic | <10 | - | <1% | - | |||||||||||||
Pseudohyponatremia | +/- | Normal or ↑ |