21 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Workup Step #1 ... history Step #2 ... Uglucose Step #3 ... ASanchez_PS and Dr ... Management #Algorithm #Sodium
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Pathophysiology 1) ... Neurological event 2) ... Sodium loss from ... #hyponatremia # ... comparison
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
water unavailable 2) ... post-obstructive 3) ... Diabetes Insipidus: neurogenic ... Dr. ... #sodium
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
is usually caused ... 1) Is it hypotonic ... 2) Is ADH elevated ... Treatment #management #nephrology ... #sodium
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Vasoactive Drugs 1) ... , Anaphylaxis, Neurogenic ... Pulmonary embolism 2) ... Nitroprusside, Nesiritide 3) ... #table
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... physiologic approach a try ... +K / serum Na >1 ... differential #diagnosis #table ... #sodium #nephrology
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
this signal: 1) ... middle finger. 2) ... the hand. 3) Now ... Dr. ... clinical #video #neurology
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Treatment Options 1. ... Basically anything 2. ... hospitalization) 3. ... promoting passive sodium ... SIADH #Management #hyponatremia
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome 1) ... affecting both sides 2) ... affecting both sides 3) ... white matter By Dr ... Gerstmann #Syndrome #neurology
DDAVP Clamp Protocol in Hyponatremia
 • Stop any maintenance fluids.
 • Start DDAVP 2 mcg IV
Clamp Protocol in Hyponatremia ... • Start DDAVP 2 ... NaCl (1-1.5 ml/ ... every 2 hours initially ... #management #nephrology