8 results
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... can be high or low ... Present (Uosm ≥100): Hypovolemia ... #Hyponatremia #differential ... #nephrology
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
osmolality helps to differentiate ... asymptomatic to seizures ... stimulated in states of low ... activated in states of low ... hyponatremia #ADH #RAAS #Hypovolemia
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... alkalosis • Normal or low ... ratio 0.5%) Differential ... tachycardia • Seizures
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
(NCPE) - Differential ... Tachypnea, - Low-grade ... hemorrhage, and seizure ... , hypotension, hypovolemia ... #causes #differential
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Hyponatremia: • Hypovolemia ... Algorithm #diagnosis #causes ... #nephrology #sodium ... #low
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... Heavy exercise - Seizures ... - Shock - Hypovolemia ... LV failure - Low ... Acute pulmonary edema
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
and Peripheral Edema ... importantly, bedside ultrasound ... patient causing hypovolemia ... the determined cause ... #diagnosis #differential
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Involves large and medium ... very remarkable w/differential ... followed by long slow ... required +/- prompt ophthalmology