36 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Workup Step 1 ... Step 2. ... administration Step 3. ... Assess volume status ... Diagnosis #Workup #Algorithm
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... 1) Check Urine ... renal mechanism 2) ... Volume Status ... #nephrology #sodium
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
kaliuresis step 1 ... hypovolemic step 2 ... fludrocortisone step 3 ... #kaliuresis #management ... #algorithm
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Workup Step #1 ... history Step #2 ... Uglucose Step #3 ... #Management #Algorithm ... #Sodium #nephrology
Cerebral Venous Thrombosis (CVT) - Management Algorithm
Prognostic score for CVT:
Variables: Malignancy 2, Coma 2, Deep venous
Algorithm Prognostic ... status disturbances ... <3: Low risk of ... poor outcome. ≥3: ... #Algorithm #neurology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
output is a clue). 1) ... water unavailable 2) ... post-obstructive 3) ... ([Na] / 140) - 1) ... Diagnosis #Treatment #management
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... PEDS Benzo Dose 1 ... Anti-epileptic #3 ... #treatment #algorithm ... peds #pediatrics #neurology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
can be grouped ... discrete buckets: 1. ... (low intake) 2. ... transcellular shift) 3. ... Causes #workup #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
: • CKD • Poorly ... - Hyperosmolar states ... Increased K Intake: 1. ... Medications 2. ... K supplement 3.
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm
Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Differential Diagnosis Algorithm ... over at least 3 ... hydronephrosis on U/S) • Reflux ... Hyperoxaluria • Hypercalcemia ... Hyperphosphatemia #CKD