14 results
Hypernatremia Diagnosis and Workup

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

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

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Uglucose Step #3 ... #Management #Algorithm ... #Sodium #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Assess volume status ... demyelination syndrome ... #Differential # ... Diagnosis #Treatment #management ... #nephrology #sodium
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
10-12 mEq/day 3. ... Demyelination Syndrome ... MH/CCF/CWRU EM Res ... Correction #goal #rate #management ... #nephrology
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
Algorithm 1) Check ... urine osmolality 3) ... - Check volume status ... #differential # ... hyponatremia #nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Risk factors 3. ... Reversible course Differential ... correction: Levels 2-3 ... #diagnosis #management ... #neurology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Algorithm Isotonic ... Cirrhosis, Nephrotic Syndrome ... MH/CCF/CWRU EM Res ... #causes #nephrology
Orofacial Granulomatosis - Diagnosis and Management Algorithm
Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma
Melkersson-Rosenthal
Diagnosis and Management ... Melkersson-Rosenthal syndrome ... facial paralysis *Differential ... Mouthwash • Lidocaine pre-meals ... oral manif. of IBD
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Framework and Management ... Toxins - Drugs - Statins ... Hyperuricemia • Hyponatremia ... causes #treatment #nephrology