13 results
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome ... Inhibitors of Na+K+2Cl ... • Hyponatremia ... Tolvaptan) • Treatment ... and euvolemic hyponatremia
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... ECF volume • Offer ... Failure - Add Diuretics ... Add Diuretics, Consider ... give specific treatment
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
Hypertonic Saline for Treatment ... of Hyponatremic ... Encephalopathy 1) 100 ml ... of a free water diuresis ... Hypertonic #Saline #Treatment
Goals and limits for treatment of Hyponatremia Stratified by duration and risk of Osmotic Demyelination Syndrome
and limits for treatment ... of Hyponatremia ... Demyelination Syndrome ... Acute Hypotonic Hyponatremia ... Demyelination #Syndrome
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
and Treatment ... Treatment: Treatment ... demyelination syndrome ... in 100 mL boluses ... Differential #Diagnosis #Treatment
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Compartment syndrome ... Hyperuricemia • Hyponatremia ... or compartment syndrome ... urine output: 200 ml ... Loop diuretics for
IDSA Recommendations for Preventing and Treating Bacterial Enteric Infections in HIV-AIDS
Preventing Bacterial Enteric Illness:
 • Antimicrobial
IDSA Recommendations ... pneumonia TMP-SMX may offer ... if MIC<0.12 ug/ml ... Enteric #Bacterial #IDSA ... #Prevention #Treatment
PCOS Treatment
1st line = weight loss
 • 5-10% weight loss can restore ovulatory cycles
 • Improvement
PCOS Treatment ... Contraceptives: 20 mcg ... waxing #PCOS #Treatment ... #management #endocrinology ... Polycystic #ovary #syndrome
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
secondary AI, hyponatremia ... hypophysitis, Sheehan's syndrome ... Give 250 mcg of ... Diagnosis #Management #Endocrinology
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
Macrophage Activation Syndrome ... Periodic fever syndromes ... 5000 to 10,000 ng/mL ... • Hyponatremia ... Treatment: • Corticosteroids