8 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... Repeat the sodium ... Assess volume status ... - burns - fevers ... #Algorithm #Nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Hypernatremia - Differential ... Diagnosis Algorithm ... water loss, Serum Sodium ... ICU patients • Fever ... Hypernatremia #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup ... Algorithm 1) ... mechanism 2) Volume Status ... #Algorithm #nephrology ... #sodium
Hemolytic Anemia - Differential Diagnosis Algorithm
 • Sickle cells - Consider sickle cell disease (diverse genotypes):
Hemolytic Anemia - Differential ... Diagnosis Algorithm ... Agglutination - Cold ... bartonella (oroya fever ... #workup #hematology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
to Headaches - Differential ... Diagnosis Algorithm ... Altered mental status ... and signs (e.g., fever ... #neurology #PHANTOMS
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
- Differential ... Pain reported at level ... hypercoagulable states ... disorders #diagnosis #neurology ... #algorithm
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
attention to volume status ... 3 questions to work ... Assess volume status ... Treatment #management #nephrology ... #sodium
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
blood glucose level ... IV Thiopental Sodium ... seizure #Management #neurology ... #pediatrics #peds ... #algorithm