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differential treatment algorithm hypernatremia sodium pathophysiology barre causes encephalopathy gitelman guillain stroke table 1 3 abg acid acidbase acidosis acromegaly
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... Step 2. ... • nephrotic syndrome ... #Diagnosis #Workup ... #Algorithm #Nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Diagnosis Algorithm ... Diabetes Insipidus Workup ... history Step #2 ... #Management #Algorithm ... #Sodium #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... renal mechanism 2) ... , Cushing syndrome ... #nephrology #sodium
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
How do you work ... suspicion) • +/- bubble ... 2) No major-risk ... #diagnosis #checklist ... #neurology
Stroke Evaluation and Management Algorithm Clinical suspicion of stroke (BE FAST) • Balance loss • Eyes: vision
Evaluation and Management ... Immediate Workup ... #Algorithm #diagnosis ... #differential #neurology ... #CVA
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Hyponatremia Correction ... increasing Na ~5mEq 2. ... Demyelination Syndrome ... Correction #goal #rate #management ... #nephrology
Inherited Defects in Kidney Tubule Epithelial Cells Renal glucosuria - Na+-dependent glucose cotransporter Cystinuria - Amino acid transporter Bartter
- Vasopressin-2 ... receptor or aquaporin-2 ... Increased vasopressin-2 ... Defects #Kidney #Nephrology ... #Diagnosis #Differential
Proximal Renal Tubular Acidosis (RTA) Ttype 2 Overview HCO3 reabsorptive failure Lowering of threshold for HCO3 absorption in
Acidosis (RTA) Ttype 2 ... absorption in proximal tubule ... Acidosis #Proximal #Diagnosis ... #Management #Nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential Diagnosis ... , CA Inh., Osmotic ... #Framework #Workup ... #phosphate #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... 3 questions to work ... 2) Is ADH elevated ... demyelination syndrome ... #nephrology #sodium
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