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Diagnosis and Management of Hypernatremia

#Hypernatremia #Differential #Algorithm #Causes #Nephrology #Diagnosis

** GrepMed Recommended Text: Nephrology Secrets -
Diagnosis and Management ... Differential #Algorithm #Causes ... #Nephrology #Diagnosis ... Recommended Text: Nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
dialysis indication (e.g ... require urgent nephrology ... are caused by prerenal ... CONSIDER INTRINSIC CAUSES ... workup #diagnosis #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... Osmolality > 300 mmol/kg ... Polyuria scheme) e.g ... Hypernatremia #Nephrology ... Diagnosis #Algorithm #Causes
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Common causes of ... vasoconstriction (e.g ... AIN) • Drugs (e.g ... NephroP #AKI #causes ... Differential #Diagnosis #nephrology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... Deep coma (any cause ... polyneuropathy (e.g ... Hyperreflexia #Testing #Causes ... diagnosis #table #neurology
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
cardiac syncope, e.g ... frequently benign causes ... life-threatening causes ... further guide management ... and an initial ECG
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
(Many causes!) ... * (most common cause ... • Infection (e.g ... Brain lesions (e.g ... Syndrome #diagnosis #neurology
Polyuria - Differential Diagnosis Algorithm
Urine Output > 3L /day
Water Diuresis (Urine Osm <100 mOsm/kg)
 • Primary
Osm <100 mOsm/kg ... Osm 100-200 mOsm/kg ... Osm 300-500 mOsm/kg ... Diagnosis #Algorithm #causes ... #nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... sediment - WBC/RBC casts ... Protein deposition (eg ... #Proteinuria #Nephrology ... Diagnosis #Algorithm #Causes
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia Caused ... or iatrogenic causes ... , e.g. central line ... Plan definitive management ... Checklist #Diagnosis #Management