79 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... mmol/L - true hyponatremia ... renal failure #Hypernatremia ... #Diagnosis #Workup
Hyponatremia Algorithm - ADH Dependent vs Independent
#Diagnosis #Nephro #Hyponatremia #ADHIndependent #Differential #Algorithm
Hyponatremia Algorithm ... - ADH Dependent ... Diagnosis #Nephro #Hyponatremia
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic Hyponatremia ... irrigants Hypotonic Hyponatremia ... : • ADH ON (UOsm ... salt wasting • ADH
Thiazide induced Hyponatremia - Pathophysiology
 • Reduced distal delivery
 • Inhibition of the NCC (dilution capcity)-
Thiazide induced Hyponatremia ... permeability increased - ADH ... independent / ADH ... Thiazide #induced #Hyponatremia
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... • UOsm > 300 - ADH ... - Appropriate ADH ... , CNS Disease, Meds ... UnremarkableLab #Hyponatremia
Diagnostic Approach to Hyponatremia
Box A:
 • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose
 • Pseudohyponatremia:
Diagnostic Approach to Hyponatremia ... Normo/hyperosmolar Hyponatremia ... Wilkinsonjonny #Hyponatremia ... Diagnosis #Algorithm #workup
Febrile Seizure
#Diagnosis #Workup #Peds #Febrile #Seizure #Workup #PEMSource
Seizure #Diagnosis #Workup ... #Peds #Febrile ... #Seizure #Workup
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Inappropriate ADH ... physiologic stimulus to ADH ... 100 mmol/kg - ADH ... osmole intake #Hyponatremia
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Inappropriate ADH ... physiologic stimulus to ADH ... 100 mmol/kg - ADH ... osmole intake #Hyponatremia
PocketPEM - Pediatric Fever Workup #Diagnosis #Peds #EM #Fever #Pediatric #Fever #Workup #PocketCard #PocketPEM
Pediatric Fever Workup ... #Diagnosis #Peds ... Pediatric #Fever #Workup