13 results
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
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... 1.5 High CO / Low ... Decompensated CHF ... #criticalcare #algorithm ... #treatment #management
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... Diagnosis is primarily ... Diabetes Insipidus: neurogenic ... #Treatment #management ... #nephrology #sodium
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... , Anaphylaxis, Neurogenic ... Arrhythmias / CHB ... #inopressors #diagnosis ... #management #comparison
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... include vaptans (HF ... #Differential #Diagnosis ... #Treatment #management ... #nephrology #sodium
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... Alcohol MH/CCF ... #diagnosis #causes ... #nephrology #sodium ... #low
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
, Cardiogenic shock ... ST elevation), Low ... voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... • Hypovolemic shock ... Tolvaptan) • Treatment ... and euvolemic hyponatremia
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
mental status and low ... & Dry) is the treatment ... essentially Cardiogenic Shock ... #algorithm #management ... #heartfailure #chf
Enema Selection / Comparison Table

A short guide for choosing which enema to order depending on the
Enema Selection / Comparison ... Sodium Phosphate ... CKD (phos ↑), CHF ... Contraindications: SIADH, Hyponatremia ... #Constipation #Management