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diagnosis management nephrology differential treatment syndrome diuresis diuretics encephalopathy excretion hematology hypernatremia intercellularshift leukostasis lysis medications pharmacology physiologic posterior potassium
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia. - At
Hyperkalemia shortens ... repolarization; changes ... prolonged PR and QT ... #EKG #ECG #Changes ... #Progression #Table
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... • Hypertonic ... Polyuria scheme) e.g ... #Nephrology #Differential ... #Causes
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
of hypotonic hyponatremia ... normal volume-based algorithm ... Urine Na+K / serum ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... ECG changes, weakness ... ) ECG changes ... #Treatment #Algorithm
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... Use gtt, NOT hypertonic ... Resins - Exchanges
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... exertion/training - Seizures ... Herpes, Coxsackie, etc ... Hyperuricemia • Hyponatremia ... per day until stable
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Hypercalcemia ... Kidney stones caused ... Renal Epithelial Channels ... Nonspecific Cation Channel ... #Medications #Table
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... • Cell Lysis (e.g ... Decreased Na+-K+ ... IntercellularShift #Nephrology ... #Causes
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... tinnitus, visual changes ... dysrhythmias, seizures ... values: Elevated K, ... unless worrisome EKG
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
• Vision changes ... may precede the neurologic ... Blood transfusion, Hypercalcemia ... • EEG: With persistent ... the underlying cause
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