25 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
and Workup Step ... Step 2. ... administration Step 3. ... HYPERVOLEMIC • CHF ... #Algorithm #Nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diabetes Insipidus Workup ... history Step #2 ... Uglucose Step #3 ... #Management #Algorithm
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
increasing Na ~5mEq 2. ... 10-12 mEq/day 3. ... desmopressin MH/CCF ... Correction #goal #rate #management ... #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
to work through ... 2) Is ADH elevated ... include vaptans (HF ... Diagnosis #Treatment #management ... #nephrology #sodium
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
, Dehydration: neurologic ... water unavailable 2) ... post-obstructive 3) ... risk for cerebral edema ... Diagnosis #Treatment #management
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
may precede the neurologic ... Risk factors 3. ... Reversible course Differential ... Syndrome #diagnosis #management ... #neurology
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
carcinomatosis, HF ... ) / absence of edema ... of ascites. 2) ... incisional). 3) ... Jcortesizaguirr #Ascites #workup
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
ankle swelling. 2. ... satiety, bendopnea. 3. ... CXR congestion. 2. ... systolic dysfunction 3. ... heartfailure #diagnosis #management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
AMS, SOB from CHF ... Demand mode. 3. ... pain medication. 3) ... bradycardia #diagnosis #differential ... #management #cardiology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
myalgias, HoTN, edema ... Moderate > 2/3 and ... initiation • Differential ... sepsis), PE, DAH, CHF ... APML #diagnosis #management