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diagnosis differential nephrology causes constipation encephalopathy posterior pres reversible sodium workup evaluation headache hyponatremia management mnemonic pediatric pediatrics perioperative phantoms
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... Assess volume status ... • nephrotic syndrome ... Diagnosis #Workup #Algorithm ... #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... mechanism 2) Volume Status ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... #nephrology #sodium
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... cirrhosis, nephrotic syndrome ... , CNS Disease, Meds ... #diagnosis #nephrology
Pediatric Constipation - Differential Diagnosis Algorithm Dietary/Functional • lnsufficient Volume / Bulk Neurologic • Hirschsprung's Disease • Imperforate
Differential Diagnosis Algorithm ... Volume / Bulk Neurologic ... e.g Fissures) Anatomic ... Guillan-Barré Syndrome ... #Causes #Peds
Causes of Pediatric Constipation - Differential Diagnosis Algorithm Dietary / Functional: • Insufficient Volume / Bulk Neurologic: •
Differential Diagnosis Algorithm ... Volume / Bulk Neurologic ... Psychotropics) Anatomic ... Guillain-Barré Syndrome ... #Causes #Peds #
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis Clinical Features: • Altered mental status (Either lethargy, confusion, or
Encephalopathy Syndrome ... Features: • Altered mental ... status (Either ... Immunomodulatory meds ... #Diagnosis #Neurology
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
Differential Diagnosis Algorithm ... papilledema • Horner syndrome ... lyme • Altered mental ... status, analgesics ... #neurology #PHANTOMS
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
status • Visual ... status • Headache ... may precede the neurologic ... Seizures: Treat with AEDs ... diagnosis #management #neurology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Medical history ... event, follow ACC algorithm ... Intraabdominal - Orthopedic ... Cataract Plan for Meds ... perioperative medical
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