39 results
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
, Dehydration: neurologic ... water unavailable 2) ... post-obstructive 3) ... Dr. ... #sodium
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
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
1) Is it hypotonic ... 2) Is ADH elevated ... Dr. ... #management #nephrology ... #sodium
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
Hypertonic Saline for Treatment ... Encephalopathy 1) ... L in the first 1- ... sodium should be ... management #protocol #hyponatremia
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Options 1. ... hospitalization) 3. ... promoting passive sodium ... SIADH #Management #hyponatremia ... #nephrology #treatment
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 ... Hoffmanns #Sign #Reflex ... clinical #video #neurology
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
: • Causes can ... restriction: • Restrict 1 ... promoting passive sodium ... SIADH #Management #hyponatremia ... #nephrology #treatment