1414 results
Pathophysiology of hypotonic hyponatremia

by Helbert Rondon, MD @NephroMD

#hypotonic #hyponatremia #nephrology #algorithm #Pathophysiology
Pathophysiology of hypotonic ... @NephroMD #hypotonic ... #hyponatremia #nephrology
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
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 ... Algorithm #Diagnosis #Nephrology ... #Differential #Hypotonic
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
water Extrarenal hypotonic ... salt intake: • Hypertonic ... Diagnosis #Causes #nephrology
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
Myotonic Dystrophy
Typically presents in middle age with weakness of hands, legs and neck.
 - Mental deficiency
Myotonic Dystrophy ... - Myotonia occurs ... #Myotonic #Dystrophy ... #Myotonia #Diagnosis
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
Goals and limits for treatment of Hyponatremia Stratified by duration and risk of Osmotic Demyelination Syndrome
Syndrome (ODS) Acute Hypotonic ... mL boluses of hypertonic ... time, followed by hypertonic ... Otherwise, hypertonic ... normalization Chronic Hypotonic
Glitter Cells on Urine Microscopy
Glitter cells in the urine are viable and pale staining WBCs with
viscosity as occurs in hypotonic ... Microscopy #clinical #nephrology
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 ... #Physiologic #Hypotonic ... table #sodium #nephrology