11 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Diagnosis Algorithm ... Workup Step #1 ... history Step #2 ... & desmopressin test ... #Sodium #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... 1) Check Urine ... renal mechanism 2) ... insipidus (central or nephrogenic ... #nephrology #sodium
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Evaluation Algorithm ... Step 1: Consider ... elevated Step 2: ... Consider additional tests ... considered likely, the cause
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... demonstrates: 1) ... to the Left 2) ... #HINTS #PhysicalExam ... #Clinical #Video
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... demonstrates: 1) ... to the Left 2) ... #HINTS #PhysicalExam ... #Clinical #Video
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
Encephalopathy 1) ... May repeat until clinical ... L in the first 1- ... sodium should be ... management #protocol #hyponatremia
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Dehydration - Loss of sodium ... conditions - Neurogenic ... heat illness → Hypernatremia ... Multi-system illness: 1. ... encephalopathy) 2.
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
joint capsule cause ... side and compare 1) ... finger at PIP 2) ... #PhysicalExam # ... clinical #video
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Diagnosis and Clinical ... Features 1) Skin ... , oral cavity) Caused ... is decreased), hypernatremia ... dexamethasone suppression test
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Involves large and medium ... Diagnosis = clinical ... the “Chewing gum test ... identifies 85 to 95% of cases ... mg per day or 1