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diagnosis differential hyponatremia sodium table diuresis diuretics endocrinology epilepticus excretion hypotonic insufficiency management medications neurology peds pharmacology physiologic polyuria renal
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... perspiration Renal ... insipidus • Nephrogenic ... #nephrology #sodium ... #high
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Treat with a high ... Hypothyroidism, adrenal ... #causes #nephrology
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 likely: • High
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Causes of Polyuria ... Differential Diagnosis Algorithm ... Recovery from Acute Renal ... #Polyuria #Nephrology ... #Causes
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... diuresis can be high ... Hypothyroidism, Adrenal ... table #sodium #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Loop Diuretics; High-Ceiling ... nephrotic syndrome • Hyponatremia ... Kidney stones caused ... and euvolemic hyponatremia ... Excretion #Diuresis #Nephrology
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
• Give high flow ... Consider CBC, renal ... function test, ... #pediatrics #peds ... #algorithm
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