32 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Workup Step #1 ... Uglucose Step #3 ... #Management #Algorithm ... #Sodium #nephrology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
post-obstructive 3) ... Diabetes Insipidus: neurogenic ... can also be complex ... Diagnosis #Treatment #management ... #nephrology #sodium
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Pathophysiology 1) ... Neurological event 2) Sodium ... from tubules 3) ... #hyponatremia # ... comparison
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
is usually caused ... Then, ask 3 questions ... 1) Is it hypotonic ... Diagnosis #Treatment #management ... #nephrology #sodium
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
Encephalopathy 1) ... L in the first 1- ... Increase in sodium ... Saline #Treatment #management ... #protocol #hyponatremia
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Treatment Options 1. ... hospitalization) 3. ... promoting passive sodium ... SatyaPatelMD #SIADH #Management ... #hyponatremia #
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... restriction: • Restrict 1 ... promoting passive sodium ... #hyponatremia # ... nephrology #treatment
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
this specific case ... this signal: 1) ... the hand. 3) Now ... Hoffmanns #Sign #Reflex ... clinical #video #neurology
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... SIADH — look for cause ... hourly • Identify Cause ... #Management #algorithm ... #treatment #sodium
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Comatose Patient 1. ... stimulation 3. ... horizontal movements; also ... Sternal rub 3. ... #PhysicalExam #neurology