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diagnosis differential hints neurology sodium clinical headimpulse polyuria table vertigo video avs cancer cva diuresis diuretics emergencies endocrinology examination excretion
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... perspiration Renal ... Osmotic diuresis • Central ... insipidus • Nephrogenic ... #nephrology #sodium
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew) In a patient with vertigo symptoms, this
Test of Skew (Abnormal ... cause of vertigo ... #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
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 Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... Diabetes insipidus (central ... or nephrogenic) ... Diagnosis #Workup #Algorithm ... #nephrology #sodium
HINTS Exam - Normal Head Impulse Test = Central Cause This patient as a normal head impulse
Head Impulse Test ... = Central Cause ... cause of vertigo ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
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 The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... result is positive (abnormal ... cause of AVS. ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Causes of Polyuria ... Recovery from Acute Renal ... response • Central ... #Polyuria #Nephrology ... #Causes
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypotension, hyponatremia ... ACTH) stimulation test ... insufficiency • Low or normal
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
Differential Diagnosis Algorithm ... Polydipsia • Central ... Insipidus • Nephrogenic ... Dl • Chronic Renal ... #causes #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... of hypotonic hyponatremia ... remember than the normal ... volume-based algorithm ... table #sodium #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
nephrotic syndrome • Hyponatremia ... Kidney stones caused ... Desmopressin (DDAVP) • Central ... and euvolemic hyponatremia ... Excretion #Diuresis #Nephrology
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