23 results
Myotonic Muscular Dystrophy on Physical Exam

Myotonic dystrophy is characterized by progressive muscle wasting and weakness. People
Myotonic Muscular ... Physical Exam Myotonic ... contractions (myotonia ... #Myotonic #Muscular ... clinical #video #neurology
Pathophysiology of hypotonic hyponatremia

by Helbert Rondon, MD @NephroMD

#hypotonic #hyponatremia #nephrology #algorithm #Pathophysiology
Pathophysiology of hypotonic ... hyponatremia ... @NephroMD #hypotonic ... #hyponatremia # ... nephrology #algorithm
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic ... Urologic irrigants Hypotonic ... Beer potomania Isotonic ... diagnosis #sodium #nephrology
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypo-osmolar Hypotonic ... HypoNatremia Algorithm ... Urine Osm #Hyponatremia ... Algorithm #Diagnosis #Nephrology ... #Differential #Hypotonic
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... water Extrarenal hypotonic ... salt intake: • Hypertonic ... administration #Hypernatremia ... Diagnosis #Causes #nephrology
Goals and limits for treatment of Hyponatremia Stratified by duration and risk of Osmotic Demyelination Syndrome
for treatment of Hyponatremia ... Syndrome (ODS) Acute Hypotonic ... normalization Chronic Hypotonic ... goals #limits #management ... #hyponatremia
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... , Recent TURP Hypotonic ... Hyponatremia: ... Hypothyroidism Hypertonic ... diagnosis #causes #nephrology
Causes of Pediatric Constipation - Differential Diagnosis Algorithm
Dietary / Functional:
 • Insufficient Volume / Bulk
Neurologic:
 •
Causes of Pediatric Constipation ... Volume / Bulk Neurologic ... Pseudo-obstruction Neurologic ... Cord Lesions • Myotonia ... Sexual Abuse #Constipation
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Physiologic Approach to Hypotonic ... Hyponatremia The ... have a case of hypotonic ... #Physiologic #Hypotonic ... table #sodium #nephrology
Visualizing Hypotonic Hyponatremia

 • UNa reveals RAAS activity.
 • UOsm reveals ADH activity.
 • ADH secretion
Visualizing Hypotonic ... Hyponatremia ... COREIMpodcast #Hypotonic ... #Hyponatremia # ... Graph #nephrology