Hyponatremia differential diagnosis: Difference between revisions
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==Differentiating Hyponatremia from other Diseases== | ==Differentiating Hyponatremia from other Diseases== | ||
{| class="wikitable" | {| class="wikitable" | ||
!Disease | !Disease | ||
! colspan=" | ! colspan="13" |Clinical manifestations | ||
! colspan="8" |Paraclinical Findings | ! colspan="8" |Paraclinical Findings | ||
!Comments | !Comments | ||
|- | |- | ||
| rowspan="3" | | | rowspan="3" | | ||
| colspan=" | | colspan="13" |Symptoms and Signs | ||
| colspan="7" |Lab Findings | | colspan="7" |Lab Findings | ||
| rowspan="3" |Imaging | | rowspan="3" |Imaging | ||
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| rowspan="2" |Confusion/ Dizziness | | rowspan="2" |Confusion/ Dizziness | ||
| rowspan="2" |Seizures | | rowspan="2" |Seizures | ||
| rowspan="2" |Volume status | |||
| rowspan="2" |JVP | | rowspan="2" |JVP | ||
| rowspan="2" |Edema | | rowspan="2" |Edema | ||
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|Hypervolemic | |||
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|Hypervolemic | |||
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|Hypervolemic | |||
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|SIADH | |SIADH | ||
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|Euvolemic | |||
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|Euvolemic | |||
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|Euvolemic | |||
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|Euvolemic | |||
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|Euvolemic | |||
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|Euvolemic | |||
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|Diuretic induced hyponatremia | |Diuretic induced hyponatremia | ||
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|Hypovolemic | |||
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Revision as of 14:40, 30 April 2018
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Hyponatremia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Hyponatremia differential diagnosis On the Web |
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American Roentgen Ray Society Images of Hyponatremia differential diagnosis |
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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 | Thirst | Vomiting/ Diarrhea | Confusion/ Dizziness | Seizures | Volume status | JVP | Edema | Crackles | Ascites | Tachycardia | Hypotension | Oliguria | CBC | Urine Analysis | Serum Osmolality | ADH levels | Other | |||||
| Urine Na | Urine Osm | FeNa | ||||||||||||||||||||
| Renal failure | Hypervolemic | >20 | - | >1% | ||||||||||||||||||
| Congestive heart failure | Hypervolemic | <10 | - | <1% | ||||||||||||||||||
| Cirrhosis | Hypervolemic | <10 | - | <1% | ||||||||||||||||||
| SIADH | Euvolemic | - | >100 | - | ||||||||||||||||||
| Hypothyroidism | Euvolemic | - | >100 | - | ||||||||||||||||||
| Adrenal insufficiency | Euvolemic | - | >100 | - | ||||||||||||||||||
| Psychogenic polydipsia | 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% | ||||||||||||||||||