37 results
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... Overcorrection of Hyponatremia ... desmopressin MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Hyponatremia
Differential Diagnosis and Evaluation of Hyponatremia #Diagnosis #EM #IM #Nephro #Hyponatremia #Algorithm #VolumeStatus #Differential #Ddxof
Evaluation of Hyponatremia ... #Diagnosis #EM ... #IM #Nephro #Hyponatremia ... #Algorithm #VolumeStatus
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
- MH/CCF/CWRU ... EM Res @MetroHealth_EM ... Management #Seizure #Algorithm
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Algorithm Isotonic ... Alcohol MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Differential #Algorithm
Differential Diagnosis and Evaluation of Hypernatremia #Diagnosis #EM #IM #Nephro #Hypernatremia #Algorithm #VolumeStatus #Differential #DiabetesInsipidus #Ddxof
Evaluation of Hypernatremia ... #Diagnosis #EM ... #IM #Nephro #Hypernatremia ... #Algorithm #VolumeStatus
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... HYPERVOLEMIC • CHF ... renal failure #Hypernatremia ... Diagnosis #Workup #Algorithm
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Evaluation of Hyponatremia ... history #Diagnosis #EM ... #IM #Nephro #Hyponatremia ... #Differential #Algorithm
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Hyponatremia Treatment ... Algorithm CHF ... DrEricStrong #Hyponatremia ... #Treatment #Algorithm
Hyperviscosity Syndrome - Causes and Treatment

 - Waldenstrom macroglobulinemia (most common) / Plasmapheresis 
 - Multiple
Phlebotomy - MH/CCF ... /CWRU EM Res @MetroHealth_EM
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
- MH/CCF/CWRU ... EM Res @MetroHealth_EM