21 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential Diagnosis ... Workup Step #1 ... Uglucose Step #3 ... #Algorithm #Sodium ... #nephrology #insipidus
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Workup Step 1 ... Repeat the sodium ... HYPERVOLEMIC • CHF ... #Workup #Algorithm ... #Nephrology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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Decompensated CHF ... Goals: 1) MAP ... Lactate < 2.0 3) ... #criticalcare #algorithm ... #treatment #management
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... 1) Is it hypotonic ... include vaptans (HF ... #Treatment #management ... #nephrology #sodium
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... scapholunate space >3 ... week MH/CCF/ ... CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
output is a clue). 1) ... post-obstructive 3) ... ([Na] / 140) - 1) ... #Treatment #management ... #nephrology #sodium
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis: 1. ... Decide on EMBx 3. ... Low voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
consult: No, if <1 ... within the next 2-3 ... MH/CCF/CWRU ... EM Res @MetroHealth_EM ... #XRay #Diagnosis
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
age 10-20 • Named ... fracture • ED Management ... follow-up within 1 ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
capitellum (age 1) ... radial head (age 3) ... follow-up within 1 ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis