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diagnosis management classification nephrology overview pharmacology sodium treatment algorithm cardiology challenges chf clinical curves diuresis diuretics encephalopathy excretion fluid foamed
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Hyponatremia - Differential ... hemorrhage) - Pulmonary ... Suppressed - Advanced renal ... Diagnosis #Table ... #Causes #Sodium
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... exacerbation (any cause ... flow) - Massive pulmonary ... Classification #Table ... #CriticalCare
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... dehydration due to renal ... findings based on cause ... Diagnosis #table ... #comparison #criticalcare
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal ... oliguria (< 0.5 mL ... management #Overview #criticalcare ... #differential # ... causes #classification
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal ... oliguria (< 0.5 mL ... management #Overview #criticalcare ... #differential # ... causes #classification
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... of hypotonic hyponatremia ... Cerebral Salt Wasting ... #differential # ... diagnosis #table
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Cardiac Tamponade, Pulmonary ... albumin, trauma), Renal ... Losses(salt-wasting ... #diagnosis #differential ... guyton #curves #criticalcare
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Inhibitors of Na+K+2Cl ... Torsemide) • Acute pulmonary ... Kidney stones caused ... • Hypovolemic shock ... #Medications #Table
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Management Summary Causes ... Hyperuricemia • Hyponatremia ... urine output: 200 ml ... per day until stable
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Infection/Sepsis/Shock ... Immunosuppressive agents, Renal ... Reversible course Differential ... thrombosis Testing ... the underlying cause
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