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algorithm causes neurology alkalosis treatment seizures sodium urinary criticalcare encephalopathy epilepticus foamed gitelman hypernatremia hypokalemia pathophysiology posterior pres reversible rhabdomyolysis
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
- Differential ... Diagnosis Algorithm ... - Normal/low ... , Gitelman syndrome ... Normal acid-base status
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... Normal acid-base status ... urine #Algorithm #nephrology ... #differential # ... diagnosis
Causes of Seizures - Differential Diagnosis Algorithm Unprovoked - Epilepsy: • Focal: Simple, Complex • Generalized: Absence,
Diagnosis Algorithm ... vasoconstriction syndrome ... Neurocysticercosis, PML • Metabolic ... Hyperglycemia, Hyponatremia ... #Causes #neurology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... mechanism 2) Volume Status ... • Euvolemic (Low ... #Differential # ... #Algorithm #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Alkalosis: Differential ... Diagnosis ECF ... chloridorrhea) • Status ... #Diagnosis #Causes ... #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Assess volume status ... demyelination syndrome ... #Differential # ... #management #nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
parietal lobes of the brain ... Reversible course Differential ... Drug toxicity, Metabolic ... #diagnosis #management ... #neurology
Causes of Status Epilepticus in Adults METABOLIC DISTURBANCES Hepatic encephalopathy Hypocalcemia Hypoglycemia or hyperglycemia Hyponatremia Uremia INFECTIOUS PROCESSES Central nervous system abscess Encephalitis Meningitis WITHDRAWAL SYNDROMES Alcohol Antiepileptic drugs Baclofen Barbiturates Benzodiazepines CENTRAL
Epilepticus in Adults METABOLIC ... hyperglycemia Hyponatremia ... Meningitis WITHDRAWAL SYNDROMES ... malformations Brain ... #diagnosis #causes
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Weakness - Differential ... Diagnosis Framework ... nervous system: Brain ... toxins: Steroids, Statins ... #Diagnosis #neurology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
alkalosis • Normal or low ... Hypochloremic metabolic ... ratio 0.5%) Differential ... #diagnosis #nephrology ... #management #pathophysiology
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