13 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... 1 . ... Repeat the sodium ... Step 2. ... #Diagnosis #Workup
Hypernatremia - Diagnostic Evaluation Algorithm
Step 1: Consider history. Most patients presenting with hypernatremia are either very
Algorithm Step 1: ... Step 2: Check Uosm ... Step 3: If patient ... #Diagnosis #Workup ... Evaluation #Algorithm #Sodium
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Diagnosis Algorithm ... Diabetes Insipidus Workup ... Step #1 - Consider ... history Step #2 ... Uglucose Step #3
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... 1) Check Urine ... renal mechanism 2) ... #nephrology #sodium
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Management 1) ... vitals en route 2) ... Immediate Assessment 3) ... and Workup 5) ... #Shock
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Pathophysiology 1) ... Neurological event 2) ... Sodium loss from ... tubules 3) Naturiesis ... #comparison
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... SOFA and SIRS 1) ... Readily Reversibles 3) ... Epinephrine - Neurogenic ... #Summary #criticalcare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Drugs 1) Determine ... , Anaphylaxis, Neurogenic ... Pulmonary embolism 2) ... #inopressors #diagnosis ... #management #comparison
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... Stages: 1. ... tissue perfusion 2. ... altered mentation 3. ... #types #diagnosis
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) ... management #nephrology #sodium