10 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Differential Diagnosis ... symptoms (HA, nausea ... history #Diagnosis #EM ... #IM #Nephro #Hyponatremia ... #Algorithm #Ddxof
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Algorithm UOsm ... Primary polydipsia, Low ... Helbert Rondon, MD @NephroMD ... #diagnosis #differential ... #algorithm #causes
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... - Differential ... Diagnosis Algorithm ... water loss, Serum Sodium ... mannitol, glucosuria Low
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Algorithm Isotonic ... MH/CCF/CWRU EM ... #causes #nephrology ... #sodium #low
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... : SIADH, Renal Sodium ... can be high or low ... #differential #
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... the indicated causes ... the excretion of sodium ... #nephrology #differential
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... SIADH — look for cause ... Renal Tubular Acidosis ... #Management #algorithm ... #treatment #sodium
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Heat Stroke - Differential ... Dehydration - Loss of sodium ... heat illness → Hypernatremia ... damage without neuro ... #diagnosis #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Manifestations • Neuro ... Renal: metabolic acidosis ... Classification #diagnosis #management ... #criticalcare #differential ... #causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Manifestations • Neuro ... Renal: metabolic acidosis ... Classification #diagnosis #management ... #criticalcare #differential ... #causes #classification