31 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... Assess volume status ... #Diagnosis #Workup ... #Algorithm #Nephrology
Algorithm for the Workup of Febrile Seizure

Dr. Tom Fadial https://twitter.com/thame

#Febrile #Seizure #Algorithm #Workup #Fever #Neurology #Emergency
Algorithm for the ... Seizure Dr. ... #Algorithm #Workup ... #Fever #Neurology ... #Emergency #Diagnosis
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
rely upon rapid seizure ... The longer the seizure ... cause aspiration, hyperkalemia ... #Management #Neurology ... #Algorithm #PulmCrit
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypo-osmolar Hypotonic HypoNatremia ... Algorithm (Serum ... Assess Volume Status ... #Algorithm #Diagnosis ... #Nephrology #Differential
Causes of Secondary / Provoked Seizures - Differential Diagnosis Algorithm
Febrile
Infection
 • Sepsis
 • Encephalitis
 • Meningitis
Metabolic
Algorithm Febrile ... Hyperglycemia • Hypocalcemia ... • Hyponatremia ... #Neurology #Differential ... #Diagnosis #Algorithm
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... Algorithm Unprovoked ... Hyperglycemia, Hyponatremia ... Hypomagnesemia, Hypocalcemia ... #neurology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia ... Differential Algorithm ... addition) of volume status ... #Differential #Algorithm ... #Diagnosis #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... mechanism 2) Volume Status ... #Workup #Algorithm ... #nephrology #sodium
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... EABV) - Consider: Hypovolemia ... #algorithm #causes ... #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
- Differential Diagnosis ... Algorithm Once ... #Differential #Diagnosis ... #Algorithm #Causes ... #workup #nephrology