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differential nephrology hyponatremia sodium hypotonic pediatrics alte brue chronic dermatomes dysarthria event extremity floppy hypertension infant kidneydisease leg lifethreatening lowerlimb
Causes of Polyneuropathy - Differential Diagnosis Algorithm • Metabolic: DM, Hypothyroidism, CKD, Cirrhosis, Nutritional deficiency •
Causes of Polyneuropathy ... Hypothyroidism, CKD ... • Toxic: EtOH, Meds ... #Algorithm #causes ... #neurology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Diagnosis Algorithm ... treat underlying cause ... , CNS Disease, Meds ... always exclude: CKD ... #Algorithm #diagnosis
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... • Euvolemic (Low ... #Workup #Algorithm ... #nephrology #sodium
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... Algorithm Hypernatremia ... mannitol, glucosuria Low ... #Diagnosis #Algorithm ... #Causes
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... Primary polydipsia, Low ... #algorithm #causes ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Beer Potomania - Low ... #Algorithm #causes ... #nephrology
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
- Differential Diagnosis ... Algorithm Decreased ... hydronephrosis on U/S) • Reflux ... Hyperphosphatemia #CKD ... #Algorithm #Causes
Causes of Apparent Life Threatening Event (ALTE) - Differential Diagnosis Algorithm Cardiac: • Congenital Heart Disease •
Causes of Apparent ... Disturbances Neurologic ... Gastroesophageal Reflux ... #Algorithm #Causes ... #Peds #Pediatrics
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
and Myotomes Reflexes ... Equina Syndrome - Low ... Commonly caused ... dysaesthesia, neurogenic ... #neurology #sensory
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 ... can be high or low ... #differential #diagnosis ... table #sodium #nephrology
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