8 results
BEHIND - Stroke Mimics Mnemonic
Brain: Mass, Hemorrhage, Contusion
Epilepsy: Post Ictal State, 
Hyponatremia, Hypogycemia
Intoxication, Infection
Neuro: Migraine, Multiple
BEHIND - Stroke Mimics ... Ictal State, Hyponatremia ... BEHIND #Stroke #Mimics ... #Mnemonic #CVA ... #Neurology #Diagnosis
Algorithm for Differentiating Gitelman syndrome from Bartter syndrome
 • Urine Chloride
 • Urine Ca/Cr ratio

Dr. Krithika
Differentiating Gitelman ... Chloride • Urine Ca ... krithicism #Gitelman ... Bartter #Algorithm #nephrology ... #hypokalemia #diagnosis
Gitelman Syndrome Pathophysiology
Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
in the distal tubule ... H+ secretion → Hypokalemia ... Contraction → ↑ Renin ↑ Ca ... Pathophysiology #nephrology ... #diagnosis
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
hemorrhage and other mimics ... Evaluate ischemic CVA ... suspicion) • +/- bubble ... stroke #workup #diagnosis ... #checklist #neurology
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Bartter's syndrome (mimics ... diuretic use), Gitelman's ... syndrome (mimics ... #differential #diagnosis ... #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Gitelman Syndrome ... cotransporter • Gitelman's ... distal convoluted tubule ... #Syndrome #diagnosis ... #nephrology #management
Differential Diagnosis: New-Onset Seizure in the Elderly

STRUCTURAL:
 • Stroke/TIA, Subdural hematoma, mass
 • Traumatic Brain Injury
Differential Diagnosis ... • Hypocalcemia ... • Hypocalcemia ... Seizure Mimics: ... Seizure #Elderly #Neurology
Citrate Anticoagulation Toxicity

Hypernatremia (HyperNa):
 - Citrate solutions may have ↑ sodium content and should be paired
Anticoagulation Toxicity Hypernatremia ... circulation → ↓Mg Hypocalcemia ... free, ionized Ca ... Toxicity #toxicology #nephrology ... #diagnosis