5 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
: 1) Identification ... nausea, confusion, seizures ... ) 3) Assessment ... history #Diagnosis #EM ... #Differential #Algorithm
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... : • Hypovolemia ... Hypervolemia: Congestive Heart ... MH/CCF/CWRU EM ... #sodium #low
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... +K / serum Na >1 ... Present (Uosm ≥100): Hypovolemia ... renal perfusion (Heart ... #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
exertion/training - Seizures ... Hyperuricemia • Hyponatremia ... obstruction 3. ... output: 200 ml/hr 3. ... causes #treatment #nephrology
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Dehydration - Loss of sodium ... illness → Hypernatremia ... Multi-system illness: 1. ... , ARDS, DIC) 3. ... consciousness, Coma/seizure