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diagnosis differential algorithm causes nephrology management neurology peds pediatrics sodium physicalexam treatment constipation hypotonic seizures armrecoil barre cancer clinical comatose
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia ... Urologic irrigants Hypotonic ... Hyponatremia: ... Cirrhosis, Nephrotic syndrome ... Beer potomania Isotonic
Goals and limits for treatment of Hyponatremia Stratified by duration and risk of Osmotic Demyelination Syndrome
risk of Osmotic Demyelination ... Syndrome (ODS) ... Acute Hypotonic ... Normalization #Osmotic #Demyelination ... #Syndrome #ODS
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
• Spinal Cord: Demyelinating ... Guillain-Barre syndrome ... Lambert Eaton Syndrome ... Muscular dystrophy, Myotonic
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Hyponatremia Correction ... Overcorrection of Hyponatremia ... → Osmotic Demyelination ... Syndrome - ... MetroHealth_EM #Hyponatremia
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... and Treatment Hyponatremia ... 1) Is it hypotonic ... risk for osmotic demyelination ... syndrome. 3% saline
Causes of Hypotonic Infant (Floppy Newborn) - Differential Diagnosis Algorithm Central Nervous System - Decreased LOC, Axial
Causes of Hypotonic ... Infant (Floppy Newborn ... Other Congenital Syndromes ... • Congenital Myotonic ... Infant #Floppy #Newborn
Causes of Pediatric Constipation - Differential Diagnosis Algorithm Dietary / Functional: • Insufficient Volume / Bulk Neurologic: •
Cord Lesions • Myotonia ... Guillain-Barré Syndrome
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Hyponatremia The ... have a case of hypotonic ... hyponatremia, give ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Algorithm Isotonic ... , Recent TURP Hypotonic ... Hyponatremia: ... Cirrhosis, Nephrotic Syndrome
Hypothyroidism – symptoms and signs. Symptoms: Tiredness/malaise, Weight gain, Anorexia, Cold intolerance, Poor memory, Change in appearance, Depression, Poor libido,
Carpal timel syndrome ... Mild obesity, Myotonia
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