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diagnosis differential neurology management algorithm causes treatment sodium cardiology hypernatremia syndromes table ecg electrocardiogram physicalexam signs symptoms acute clinical encephalopathy
ECG characteristics in Brugada Syndrome a. Broad P wave with some PQ prolongation b. J point
ECG characteristics ... in Brugada Syndrome ... Broad P wave with ... #EKG #Brugada # ... Syndrome #Waveform
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... • nephrotic syndrome ... renal failure #Hypernatremia ... Workup #Algorithm #Nephrology
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg) Assess Volume Status,
Hypo-osmolar Hypotonic HypoNatremia ... Osm < 275 mosm/kg ... Urine Osm #Hyponatremia ... Algorithm #Diagnosis #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Diagnosis Algorithm Syndrome ... • Nephrotic syndrome ... Uosm < 100 mmol/kg ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Diagnosis Algorithm Syndrome ... • Nephrotic syndrome ... Uosm < 100 mmol/kg ... #Nephrology #Differential
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
: > 600 mOsm/kg ... mechanism ≤ 600 mOsm/kg ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Workup #Algorithm #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic Hyponatremia ... irrigants Hypotonic Hyponatremia ... Cirrhosis, Nephrotic syndrome ... diagnosis #sodium #nephrology
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Hyponatremia Correction ... Overcorrection of Hyponatremia ... Demyelination Syndrome ... in water @ 3cc/kg ... rate #management #nephrology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Neuroleptic malignant syndrome ... • Serotonin syndrome ... Anticholinergic syndrome ... Sympathomimetic syndrome ... Anesthesiology #Anesthesia
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... Diagnosis Algorithm Hypernatremia ... Polyuria scheme) e.g ... Hyperventilation #Hypernatremia ... #Nephrology #Differential
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