8 results
Hypernatremia Diagnosis and Workup

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

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - Differential ... Diagnosis Workup ... Algorithm 1) ... mechanism 2) Volume Status ... thirst, Lack of access
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Diabetes Insipidus Workup ... history Step #2 - Assess ... Hypernatremia #Management
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
attention to volume status ... 3 questions to work ... Assess volume status ... include vaptans (HF/liver ... Diagnosis #Treatment #management
Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
Altered Mental Status ... Rapid Response Management ... glucose, security, access ... Diagnosis and Workup ... encephalopathy #differential
Diagnostic flow-chart to assess and monitor disease severity in the presence of suspected NAFLD and metabolic
flow-chart to assess ... Guidelines for the management ... non-alcoholic fatty liver ... Steatohepatitis #Workup ... #Algorithm #Followup
Blastomycosis Summary

Pathogen: 
 • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii.
 • The fungus lives
• The fungus lives ... basins, midwestern states ... Pregnancy • Outdoor worker ... Farmer and forestry work ... Blastomycosis #diagnosis #management
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
mimic the “Starved state ... stores in the liver ... hormones that work ... #diagnosis #differential ... #algorithm #management