Hypernatremia differential diagnosis: Difference between revisions
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|<nowiki><250 mOsm/kg</nowiki> | |<nowiki><250 mOsm/kg</nowiki> | ||
|May be >145 mEq/L | |May be >145 mEq/L | ||
|<nowiki>Cobblestone mucosa in colonoscopy</nowiki>} | |<nowiki>Cobblestone mucosa in colonoscopy</nowiki> | ||
|- | |||
!'''[[Heat strock]]''' | |||
|<nowiki>+</nowiki> | |||
|<nowiki>oligouria</nowiki> | |||
|<nowiki>-</nowiki> | |||
|Hypovolemic | |||
|<nowiki>+</nowiki> | |||
|<nowiki>Could be low</nowiki> | |||
|<nowiki>+</nowiki> | |||
|<nowiki>Suken eye, Sweating</nowiki> | |||
|<nowiki>>250 mOsm/kg</nowiki> | |||
|May be >145 mEq/L | |||
|<nowiki>Hypokalemia</nowiki> | |||
|-} | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 02:19, 3 July 2018
Hypernatremia Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aida Javanbakht, M.D.
Overview
Hypernatremia must be differentiated from other diseases that cause
Differentiating Hypernatremia from other Diseases
References
Disease | Clinical manifestations | Paraclinical Findings | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Symptoms and Signs | Lab Findings | ||||||||||
Confusion/ Irritable | Urine output | Vomiting/ Diarrhea | Volume status | Seizure | Blood pressure | Dry mucous membranes | Other | ||||
Urine Osm | Serum Na | Other | |||||||||
Central diabetes insipidus | + | Polyuria | - | Hypovolemic | + | Could be high | + | - | <250 mOsm/kg | May be >170 mEq/L | Low arginin vasopressin level |
Hyperosmolar hyperglycemic | + | Polyuria | - | Hypovolemic | + | Could be low | + | Abdominal pain | Could be normal | May be >145 mEq/L | Elevated serum glucose level and creatinine |
Nephrogenic diabetes insipidus | + | Polyuria | - | Hypovolemic | + | Could be low | + | History of taking Gentamicin, Lithium, Rifampin | <250 mOsm/kg | May be >170 mEq/L | Desmopressin stimulation test: Not significant change in urine osmolality |
Nephrogenic diabetes insipidus | + | Polyuria | - | Hypovolemic | + | Could be low | + | History of taking Gentamicin, Lithium, Rifampin | <250 mOsm/kg | May be >170 mEq/L | Desmopressin stimulation test: Not significant change in urine osmolality |
Crohn (intestinal fistula) | - | Normal | Could be + | Normal | - | Normal | + | - | <250 mOsm/kg | May be >145 mEq/L | Cobblestone mucosa in colonoscopy |
Heat strock | + | oligouria | - | Hypovolemic | + | Could be low | + | Suken eye, Sweating | >250 mOsm/kg | May be >145 mEq/L | Hypokalemia |