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diagnosis management differential hyponatremia nephrology neurology symptoms workup 3 abdominal arteritis carnetts comatose criteria cushings di disease endocrinology evaluation examination
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
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
Encephalopathy 1) ... L in the first 1- ... sodium should be ... urine output for signs ... management #protocol #hyponatremia
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management Caused by: Tropheryma whipplei Symptoms and Signs: 1. Migratory poly/oligoarthralgia
Management Caused ... Symptoms and Signs ... : 1. ... oligoarthralgia (80%) 2. ... Disease #diagnosis #algorithm
Romberg's Test for Proprioception History: First described in the 19th century in patients with tabes dorsalis (later
(Romberg's sign ... to perform: 1) ... with eyes open 2) ... Observe when patient closes ... proprioception #physicalexam
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 ... encephalopathy) 2.
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features 1) Skin • Thin, easily bruisable skin with
Clinical Features 1) ... , oral cavity) Caused ... is decreased), hypernatremia ... dexamethasone suppression test ... Hypercortisolism #Diagnosis #signs
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Involves large and medium ... systemic sx + signs ... the “Chewing gum test ... identifies 85 to 95% of cases ... GCA #Temporal #Signs
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Comatose Patient 1. ... safe to stop 2. ... • Examine for signs ... Casey Albin MD @ ... caseyalbin #PhysicalExam
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