21 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 ... are not able to relax ... #Myotonic #Muscular
Myotonic Dystrophy
Typically presents in middle age with weakness of hands, legs and neck.
 - Mental deficiency
Myotonic Dystrophy ... - Myotonia occurs ... - inability to relax ... #Myotonic #Dystrophy ... #Myotonia #Diagnosis
Pathophysiology of hypotonic hyponatremia

by Helbert Rondon, MD @NephroMD

#hypotonic #hyponatremia #nephrology #algorithm #Pathophysiology
Pathophysiology of hypotonic ... hyponatremia ... @NephroMD #hypotonic ... #hyponatremia # ... nephrology #algorithm
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypo-osmolar Hypotonic ... HypoNatremia Algorithm ... #Algorithm #Diagnosis ... #Nephrology #Differential ... #Hypotonic
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Algorithm Hypertonic ... Urologic irrigants Hypotonic ... Beer potomania Isotonic ... #Algorithm #diagnosis ... #sodium #nephrology
Causes of Hypotonic Infant (Floppy Newborn) - Differential Diagnosis Algorithm
Central Nervous System - Decreased LOC, Axial
Causes of Hypotonic ... Algorithm Central ... Strength, Normal Reflexes ... • Congenital Myotonic ... Myopathies #Hypotonic
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential Diagnosis ... water Extrarenal hypotonic ... #Differential #Diagnosis ... #Causes #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... , Recent TURP Hypotonic ... #Differential #Algorithm ... #diagnosis #causes ... #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Physiologic Approach to Hypotonic ... have a case of hypotonic ... normal volume-based algorithm ... #Physiologic #Hypotonic ... differential #diagnosis
Visualizing Hypotonic Hyponatremia

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