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diagnosis hyponatremia nephrology differential endocrinology acth cushing epilepticus hypotonic insufficiency management neurology pediatrics peds physiologic seizure status stimulation syndrome table
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Algorithm INDICATIONS ... Cortisol, Saliva • Low ... Hormone • MRI of adrenal ... endocrinology #Adrenal ... #Hyperfunction
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Uric Acid - Low ... High Uric Acid → renal ... salt wasting By ... #nephrology #sodium ... #low #uricacid
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 1) Screening ... specificity for AI (but low ... require Cosyntropin testing ... - Low ACTH is
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Hypothyroidism, Adrenal ... Cerebral salt wasting ... Primary polydipsia, Low ... #diagnosis #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Sodium loss (diuretics ... can be high or low ... Cerebral Salt Wasting ... Primary polydipsia), Low
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Cerebral salt wasting ... Hypothyroidism, Low ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
• Give high flow ... Consider CBC, renal ... and toxicology screening ... IV Thiopental Sodium ... pediatrics #peds #algorithm
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