27 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
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
Pathophysiology of hypotonic hyponatremia

by Helbert Rondon, MD @NephroMD

#hypotonic #hyponatremia #nephrology #algorithm #Pathophysiology
Pathophysiology of hypotonic ... hyponatremia ... @NephroMD #hypotonic ... #hyponatremia # ... nephrology #algorithm
Causes of Hypotonic Infant (Floppy Newborn) - Differential Diagnosis Algorithm
Central Nervous System - Decreased LOC, Axial
Causes of Hypotonic ... • Congenital Myotonic ... Myopathies #Hypotonic ... Algorithm #Causes #Peds
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
Pediatric Constipation - Differential Diagnosis Algorithm
Dietary/Functional
 • lnsufficient Volume / Bulk
Neurologic
 • Hirschsprung's Disease
 • Imperforate
Pediatric Constipation ... Volume / Bulk Neurologic ... --obstruction Neurologic ... Cord Lesions • Myotonia ... Algorithm #Causes #Peds
Scarf Sign (Normal) on Physical Exam

The scarf sign is used to assess developmental age and muscle
chest; in the hypotonic ... clinical #video #hypotonia ... #hypotonic #peds
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 ... Algorithm #Causes #Peds
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