13 results
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Volume Based Approach ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... mechanism 2) Volume Status ... • Euvolemic (Low ... , Cushing syndrome ... #nephrology #sodium
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
a physiologic approach ... Assess volume status ... demyelination syndrome ... #management #nephrology ... #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Physiologic Approach ... time you have a case ... normal volume-based algorithm ... Cirrhosis, Nephrotic syndrome ... #nephrology
The algorithm below shows how pre-test probability could be combined with various criteria to determine which
evidence-based framework to approach ... patient with a low ... short course of treatment ... PCR would cause ... and immunologic status
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Approach to Headaches ... papilledema • Horner syndrome ... history of cancer, HIV ... Altered mental status ... #neurology #PHANTOMS
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... Normal acid-base status ... the indicated causes ... #nephrology #differential
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Epidemiology: • 1-2 cases ... Campylobacter jejuni - HIV ... • Weakness: Starts ... Treatment: • Plasmapheresis ... #neurology
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
CNS in the early stages ... ARVs can have low ... The clinical syndrome ... and with low CD4 ... dementia #AIDS #Neurology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
- Differential Algorithm ... Cirrhosis, Nephrotic Syndrome ... #diagnosis #causes ... #nephrology #sodium ... #low