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diagnosis management signs treatment pathophysiology clinical hematology nephrology serotonin video algorithm differential endocrinology hypertonic physicalexam psychiatry saline adrenal aids alternating
Goals and limits for treatment of Hyponatremia Stratified by duration and risk of Osmotic Demyelination Syndrome
for treatment of Hyponatremia ... Demyelination Syndrome ... Acute Hypotonic Hyponatremia ... <48h) Severe symptoms ... Demyelination #Syndrome
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Hyponatremia Correction ... 100-110 - Symptoms ... Goal correction ... Demyelination Syndrome ... #Correction #goal
Hyponatremia with Severe Symptoms - Management Algorithm with Hypertonic Saline The goal of acute management is to
Hyponatremia with ... Severe Symptoms ... Hypertonic Saline The goal ... 5 or stop the symptoms ... kidney_boy #Hyponatremia
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
for Treatment of Hyponatremic ... achieved with a goal ... Symptoms improve ... management #protocol #hyponatremia
Clinical Manifestations of Serotonin Syndrome • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements) • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... • Ophthalmologic ... ucsdim #Serotonin #Syndrome ... #Symptoms #spectrum
Cauda Equina Syndrome Causes: • Large lumbar degenerative disc herniation (central) • Severe lumbar spondylosis • Neoplasm
Cauda Equina Syndrome ... spine Signs / Symptoms ... • Goal is to prevent ... #CaudaEquina #Syndrome ... pathophysiology #diagnosis #symptoms
Management of Serotonin Syndrome Identify and stop all serotoninergic medications • Avoid inadvertent Rx of serotoninergic meds
Management of Serotonin Syndrome ... Supportive Care: goal ... then 2 mg q2h if symptoms ... ucsdim #Serotonin #Syndrome
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Compartment syndrome ... : • Triad of symptoms ... urine • Other symptoms ... Hyperuricemia • Hyponatremia ... -2 L/hour with goal
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
Behçet's Syndrome ... meningitis), MCC CNS symptoms ... tests in Behcet syndrome ... inhibitors • Uveitis- Ophthalmology ... management #signs #symptoms
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
ketoconazole, etomidate) Symptoms ... secondary AI, hyponatremia ... hypophysitis, Sheehan's syndrome
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