39 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Step 2. ... administration Step 3. ... Assess volume status ... • nephrotic syndrome ... #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... renal mechanism 2) ... Volume Status ... #nephrology #sodium
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... history Step #2 ... Uglucose Step #3 ... #Management #Algorithm ... #Sodium #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Serum Osmolarity 2) ... Urine Osmolarity 3) ... #nephrology #sodium
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Differential Diagnosis ... acute vs. chronic) 2) ... confusion, seizures) 3) ... Assessment of volume status ... #Algorithm #Ddxof
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
2) Is ADH elevated ... demyelination syndrome ... #Differential # ... Diagnosis #Treatment #management ... #nephrology #sodium
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
serum osmolality 2) ... urine osmolality 3) ... - Check volume status ... #differential # ... hyponatremia #nephrology
Cerebral Venous Thrombosis (CVT) - Management Algorithm
Prognostic score for CVT:
Variables: Malignancy 2, Coma 2, Deep venous
Algorithm Prognostic ... status disturbances ... haemorrhage 1 <3: ... poor outcome. ≥3: ... #Algorithm #neurology
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
increasing Na ~5mEq 2. ... 10-12 mEq/day 3. ... Demyelination Syndrome ... Correction #goal #rate #management ... #nephrology
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... - Management Seizure ... Anti-epileptic #3 ... #treatment #algorithm ... peds #pediatrics #neurology