25 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Diagnosis Algorithm ... Workup Step #1 ... history Step #2 ... #Management #Algorithm ... #Sodium #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... water retention 1) ... Serum Osmolarity 2) ... #Algorithm #nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... Workup Step 1 ... Repeat the sodium ... Step 2. ... #Algorithm #Nephrology
Fractional Excretion of Sodium - FENa
Fractional Excretion of Sodium (FENa) = (Urine Na+ x Serum Cr)
Urine Cr) FEurea < 1% ... etiologies FEurea > 2% ... - Strong Medicine ... #nephrology #calculation ... #diagnosis
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Pathophysiology 1) ... Neurological event 2) ... Sodium loss from ... Pathophysiology #diagnosis ... #nephrology #hyponatremia
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Encephalopathy Syndrome (PRES ... reduction within first 2- ... - Strong Medicine ... Syndrome #Treatment #Management ... #Neurology
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
1. ... increasing Na ~5mEq 2. ... MH/CCF/CWRU EM Res ... Correction #goal #rate #management ... #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm 1) ... renal mechanism 2) ... Workup #Algorithm #nephrology ... #sodium
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
Hyponatremia Diagnostic ... Algorithm 1) Check ... serum osmolality 2) ... status, urine sodium ... #nephrology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
- Defined if 1) ... 2) No major-risk ... #stroke #workup ... #diagnosis #checklist ... #neurology