13 results
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Evaluation Algorithm ... Step 1: Consider ... may actually be normal ... Consider additional tests ... considered likely, the cause
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
Hypertonic Saline for Treatment ... Encephalopathy 1) ... L in the first 1- ... urine output for signs ... management #protocol #hyponatremia
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... remember than the normal ... volume-based algorithm ... +K / serum Na >1 ... : SIADH, Renal Sodium
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
restriction: • Restrict 1 ... promoting passive sodium ... the colon 0.9% Normal ... SIADH #Management #hyponatremia ... #nephrology #treatment
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... SIADH — look for cause ... give specific treatment ... #Management #algorithm ... #treatment #sodium
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Dehydration - Loss of sodium ... conditions - Neurogenic ... heat illness → Hypernatremia ... → Syncope • Signs ... Multi-system illness: 1.
Chagas Disease - American Trypanosomiasis - Diagnosis and Management Summary
Chagas disease (American trypanosomiasis) is an infectious
infectious disease caused ... Romana's sign ... PCR + 20-90%, normal ... Confirmatory Tests ... and immunoblot (TESA
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... 50 in GCA, but normal ... the “Chewing gum test ... Treatment of GCA ... GCA #Temporal #Signs
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Comatose Patient 1. ... painful stimuli: 1. ... • Examine for signs ... Casey Albin MD @ ... caseyalbin #PhysicalExam
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... diagnosis and treatment ... Step 1: In the patient ... initial screening test ... <45% and SF is normal