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diagnosis differential management nephrology causes hypercalcemia hyponatremia table diuresis endocrinology malignancy medications pharmacology rhabdomyolysis sodium acute bradycardia chronic criticalcare drugs
Treatment of hyperkalemia via kaliuresis step 1 = volume resuscitation if hypovolemic step 2 = consider fludrocortisone step
Treatment of hyperkalemia ... #hyperkalemia ... #criticalcare #treatment ... #diuretics #diuresis ... #nephrology #algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Differential Diagnosis Algorithm ... Renal losses, Diuretic ... Ketonuria, Osmotic diuresis ... Glucocorticoid deficiency, Hypothyroidism ... renal failure Hypervolemia
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Thyrotoxicosis associated ... ↑ T3 - Mild hypercalcemia ... ↑ AST/ALT • Treatment ... Thionamide - Iodine solution ... tenderness Treatment
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
edema • Edema associated ... Hyponatremia • Hypercalcemia ... Hypertension • Edema associated ... Hypertension • Edema associated ... Tolvaptan) • Treatment
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
Treatment algorithm ... for malignancy-associated ... Overload → Loop diuretic ... #malignancy #associated ... #Treatment #algorithm
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Endocrine: Hypo/Hyperthyroidism ... • LDH ↑ • Hyperkalemia ... Heme associated ... Treatment of underlying ... Loop diuretics for
Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
and Management Algorithm ... - ENDOCRINE: Hypothyroidism ... THREATENING CAUSES & TREATMENT ... Electrolytes (hyperkalemia ... #Bradycardia #Algorithm
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Endocrine (Hypo/Hyperthyroidism ... Heme associated ... oxidative iniury Treatment ... Loop diuretics for ... Dialysis for severe hyperkalemia
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Renal Sodium loss (diuretics ... or low Uosm), Hypothyroidism ... (AKI, Post-AKI diuresis ... : Hypovolemia, Hypervolemia
Treatment algorithm for malignancy-associated hypercalcemia • Aggressive IV hydration • IV Bisphosphonate +/- Calcitonin • Renal
Treatment algorithm ... for malignancy-associated ... hypercalcemia ... overload: Loop diuretic ... #treatment #management
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