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diagnosis treatment hypernatremia neurology sodium workup 1 causes ckd cord correction di disorders encephalopathy epilepticus goal hemodialysis insipidus mgh posterior
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 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
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
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Risk factors 3. ... Reversible course Differential ... 3 mEq/L • Seizures ... #diagnosis #management ... #neurology
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
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Spinal injuries 2. ... , Aspergillus 3. ... hypercoagulable states ... MCTD, Sjogren syndrome ... #algorithm
Management of Pruritus in Patients with Chronic Kidney Disease Pruritus with no primary lesions - differential diagnosis:
primary lesions - differential ... with hot water 2. ... itchy areas. 3. ... Pruritus #Treatment #Algorithm ... #Nephrology #CKD
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