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diagnosis differential algorithm management treatment hypernatremia neurology low siadh table cognitiveimpairment disorders high hypotonic neurocognitive physiologic provoked reversible rhabdomyolysis secondary
Causes of Dementia / Cognitive Impairment - Differential Diagnosis Algorithm Affecting Multiple Domains • Depression • Delirium Decline
Causes of Dementia ... - Treatable Causes ... deficiency • Hypothyroidism ... #Neurology #Differential ... Diagnosis #Algorithm #Causes
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... Repeat the sodium ... mmol/L - true hyponatremia ... • SIADH • hypothyroidism ... Workup #Algorithm #Nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... treat underlying cause ... CKD, Thiazides, Hypothyroidism ... Algorithm #diagnosis #nephrology ... #sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic Hyponatremia ... Medications (diuretics), Hypothyroidism ... Algorithm #diagnosis #sodium ... #nephrology
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... administration #Hypernatremia ... Differential #Diagnosis #Causes ... #nephrology #sodium
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Based Approach to Hyponatremia ... acid <4 • SIADH, Hypothyroidism ... SatyaPatelMD #Volume #Hyponatremia ... algorithm #diagnosis #sodium ... #low #nephrology
Reversible Neurocognitive Disorders (Reversible Causes of "Dementia") • Structural/Mass: Subdural Hematoma, NPH, Intracranial tumor • Infection:
Disorders (Reversible Causes ... of "Dementia") ... Endocrine: Hypo/hyperthyroidism ... differential #diagnosis #causes ... #neurology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Hormonal changes • Hypothyroidism ... osmole intake #Hyponatremia ... #Nephrology #Differential ... Diagnosis #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Hormonal changes • Hypothyroidism ... osmole intake #Hyponatremia ... #Nephrology #Differential ... Diagnosis #Algorithm #Causes
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... • Euvolemic - Hypothyroidism ... thecurbsiders #Hyponatremia ... Diagnosis #Algorithm #causes ... #nephrology
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