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diagnosis differential management adrenal hyponatremia insufficiency table addisons alkalosis associated cardiology chf chloride clinical criticalcare disease foamed heartfailure hypercalcemia hyperkalemia
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... Low Cortisol Response ... insufficiency • Low ... #endocrinology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
PRA • ↓ Serum sodium ... • Weakness • Low-grade ... • ↓ Serum sodium ... tests: - Check sodium ... addisons #disease #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... primary AI - Low ... Insufficiency #Diagnosis #Algorithm ... #Test #Endocrinology
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... water loss, Serum Sodium ... mannitol, glucosuria Low ... Hypernatremia #Nephrology ... #Causes
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 ... #nephrology
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
SIADH — look for cause ... hourly • Identify Cause ... give specific treatment ... Hyponatremia #Management #algorithm ... #treatment #sodium
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
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
Treatment algorithm ... Dialysis with low ... Calcitonin Refractory Cases ... #algorithm #management ... #endocrinology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... levels, Cortisol+ACTH ... only if no clear cause ... acidosis) • Low ... #potassium #nephrology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
mental status and low ... & Dry) is the treatment ... Cardiac cath if ... the determined cause ... #differential #algorithm
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