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hyponatremia alkalosis cauda caudaequina causes chloride equina gitelman guillain guillainbarre hypokalemia hypotonic metabolic pathophysiology physiologic table urinary volume workup
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Hypothyroidism, Low ... Glucocorticoid deficiency, Primary ... Cirrhosis, Nephrotic syndrome ... #algorithm #diagnosis ... #sodium #low #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... 1) Check Urine ... • Euvolemic (Low ... #Algorithm #nephrology ... #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... #differential # ... diagnosis #table ... #sodium #nephrology
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... Diagnosis is primarily ... Diagnosis #Treatment ... #management #nephrology ... #sodium
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... /constipation, hyponatremia ... #Syndrome #diagnosis ... #management #treatment ... #neurology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Measure urine osmolality ... Diagnosis #Treatment ... #management #nephrology ... #sodium
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Chloride Algorithm ... alkalosis • Normal/low ... #Algorithm #nephrology ... #differential # ... diagnosis
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
spine • MCC- acute ... symptoms: • Severe low ... cord • Guillain-Barre ... axial T1 and T2 Treatment ... #neurology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
alkalosis • Normal or low ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... Rhabdomyolysis Treatment ... #diagnosis #nephrology
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