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differential nephrology cardiology clinical jugular neck physicalexam sodium table cancer chf constrictive criticalcare encephalopathy foamed heartfailure hypotonic icu low management
Kussmaul's Sign on Physical Exam What’s the diagnosis? Severe biventeicular failure with + Kussmaul sign! NICM. No constriction! -
Kussmaul's Sign ... What’s the diagnosis ... biventeicular failure ... #clinical #video ... #jvp #cardiology
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 Kussmaul's sign in Constrictive Pericarditis A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... There is an extra heart ... the underlying diagnosis ... Kussmaul's sign ... Causes = RV failure
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 Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... • Congestive heart ... failure • Cirrhosis ... #Diagnosis #Algorithm ... #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... • Congestive heart ... failure • Cirrhosis ... #Diagnosis #Algorithm ... #Causes
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... : Hypovolemia, Heart ... failure, Cirrhosis ... #algorithm #causes ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Hypervolemic - Heart ... #Algorithm #causes ... #nephrology
Causes of Seizures - Differential Diagnosis Algorithm Unprovoked - Epilepsy: • Focal: Simple, Complex • Generalized: Absence,
• Infectious: Meningitis ... Hyperglycemia, Hyponatremia ... Uremia, Liver failure ... #Algorithm #Causes ... #neurology
Causes of Encephalopathy - Differential Diagnosis Algorithm Hyperacute: - Primary Neurologic: Vascular (IS, ICH), Seizure, Migraine, Trauma
Causes of Encephalopathy ... bacterial/viral meningitis ... systemic conditions: Heart ... failure, Endocrinopathy ... #Algorithm #Causes
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... Hypervolemia: Congestive Heart ... Failure, Liver ... #diagnosis #causes ... #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... renal perfusion (Heart ... failure, Cirrhosis ... #differential #diagnosis
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