11 results
Hypernatremia Diagnosis and Workup

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

Step #1 - Consider the history
Step #2 - Assess
Diagnosis Algorithm ... Diabetes Insipidus Workup ... history Step #2 ... - Assess the Uosm ... Uglucose Step #3
Hypernatremia - Diagnostic Evaluation Algorithm
Step 1: Consider history. Most patients presenting with hypernatremia are either very
Diagnostic Evaluation Algorithm ... Step 2: Check Uosm ... Step 3: If patient ... #Diagnosis #Workup ... #Evaluation #Algorithm
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Evaluation Algorithm ... elevated Step 2: ... Gravity Step 3: ... Assess volume status ... #Diagnosis #Workup
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... renal mechanism 2) ... thirst, Lack of access ... #Algorithm #nephrology
Hypercalcemia Workup and Differential Diagnosis Framework
1) Determine whether PTH-dependent
2) Assess for other hormonal causes
3) Assess for
Hypercalcemia Workup ... PTH-dependent 2) ... hormonal causes 3) ... Hypercalcemia #Workup ... Differential #Diagnosis #algorithm
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Evaluation of Hyponatremia ... acute vs. chronic) 2) ... confusion, seizures) 3) ... history (cardiac, liver ... #Differential #Algorithm
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... to work through ... 2) Is ADH elevated ... Assess volume status ... include vaptans (HF/liver
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... Cultures • Length: 2 ... complications) 2) ... Risk-Benefit Discussion 3) ... Consider: Spine, CNS, liver
Blastomycosis Summary

Pathogen: 
 • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii.
 • The fungus lives
• The fungus lives ... Farmer and forestry work ... Genitourinary (2% ... Skin tissue 2) ... Culture 3) Ag