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management differential hyponatremia causes syndrome algorithm celiac classification criticalcare crystalloids disease foamed gitelman hyperkalemia hypertension hypomagnesemia hypomg hypotonic k laboratory
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
ON (UNa < 30): Hypovolemia ... Cerebral salt wasting ... Primary polydipsia, Low ... Hyponatremia #Algorithm #diagnosis ... #sodium #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Cerebral Salt Wasting ... Present (Uosm ≥100): Hypovolemia ... #differential #diagnosis ... #table #sodium ... #nephrology
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Hypercalcemia - Hypokalemia ... #Differential #Diagnosis ... #Low #Magnesium ... #Table #Classification ... #Causes #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... reabsorption) Workup ... Elimination (see Table ... acidosis) • Low ... #nephrology #K
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... alkalosis • Normal or low ... Rhabdomyolysis Treatment ... Gitelman #Syndrome #diagnosis ... #nephrology #management
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
and Screening Testing ... (correction of hypokalemia ... Oral sodium loading ... Causes #Screening #Workup ... #table
Commonly Used Diagnostic Tests for Celiac Disease Tissue transglutaminase (tTG) IgA antibodies - Most reliable noninvasive test
Commonly Used Diagnostic ... negative if on low-gluten ... Reflects response to treatment ... Celiac #Disease #Testing ... #Workup #Table
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... 3 questions to work ... up to 3x in the setting ... #Differential #Diagnosis ... #nephrology #sodium
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary Epidemiology: • Prevalence: 1-2 cases per million -
disorders • Testing ... diazepam • EMG testing ... antibody that works ... others (botox, sodium ... #neurology
The crusade against “Ab”Normal Saline continues. This is a non-physiologic fluid that can harm our
ECF and ICF both work ... the ECF causes Hyperkalemia ... patients we are all treating ... criticalcare #management #diagnosis ... #treatment #pharmacology
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