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Diagnostic Approach to Hyponatremia Box A: • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose • Pseudohyponatremia:
Glycine, Contrast media ... 8, Somnolence, Seizures ... Confusion Box C: Primary ... #Diagnosis #Algorithm ... #workup
Causes of Primary Epileptic Seizures - Differential Diagnosis Algorithm Focal - Non-Dyscognitive - Features of • Aura
Causes of Primary ... Epileptic Seizures ... - Differential ... #Neurology #Differential ... #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... Pain/Post-op • Neurologic ... suppression • Primary ... #Nephrology #Differential
Causes of Secondary / Provoked Seizures - Differential Diagnosis Algorithm Febrile Infection • Sepsis • Encephalitis • Meningitis Metabolic
Causes of Secondary ... / Provoked Seizures ... - Differential ... Hypocalcemia • Hyponatremia ... #Neurology #Differential
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
Differential Diagnosis ... symptoms (HA, nausea ... , confusion, seizures ... postural BP) 4) Medical ... #Algorithm #Ddxof
Causes of Seizures - Differential Diagnosis Algorithm Unprovoked - Epilepsy: • Focal: Simple, Complex • Generalized: Absence,
Causes of Seizures ... - Differential ... Diagnosis Algorithm ... Hyperglycemia, Hyponatremia ... #Causes #neurology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... Pain/Post-op • Neurologic ... suppression • Primary ... #Nephrology #Differential
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Algorithm UOsm ... Vasopressin-independent - Consider: Primary ... #diagnosis #differential ... #algorithm #causes ... #nephrology
Causes of Encephalopathy - Differential Diagnosis Algorithm Hyperacute: - Primary Neurologic: Vascular (IS, ICH), Seizure, Migraine, Trauma
Causes of Encephalopathy ... - Differential ... Diagnosis Algorithm ... (IS, ICH), Seizure ... #Causes
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... treat underlying cause ... Solute Intake - Primary ... #diagnosis #nephrology
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