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differential causes algorithm hypernatremia syndrome workup alkalosis checklist criteria cva endocrinology hepatorenal hypercortisolism ischemic management metabolic rhabdomyolysis signs sodium symptoms
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
- Differential Diagnosis ... diuresis (see Polyuria ... mannitol, glucosuria Low ... Urine Osmolality ... #Nephrology #Differential
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
- Differential Diagnosis ... • Central Dl (Low ... Mimics (↑ urine ... - Strong Medicine ... #Causes #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Algorithm 1) Check Urine ... • Euvolemic (Low ... Conn syndrome, Cushing ... Workup #Algorithm #nephrology
Hepatorenal Syndrome Diagnosis • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome Diagnosis ... proteinuria) • ↓ urine ... ) • Low urine ... - Strong Medicine ... #HRS #nephrology
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
purple abdominal striae ... hyperglycemia —+ mild polyuria ... is decreased), hypernatremia ... ↑ 24-hour urine ... levels following a low-dose
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
: Differential Diagnosis ... diuretic effect has ... hyperaldosteronism) • Severe Cushing ... #Differential #Diagnosis ... #Causes #nephrology
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
How do you work ... suspicion) • +/- bubble ... ischemic #CVA #stroke ... #workup #diagnosis ... #checklist #neurology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... Heat injury, Heat stroke ... Hyperuricemia • Hyponatremia ... output: 200 ml/hr ... causes #treatment #nephrology
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