9 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... • Euvolemic (Low ... #Differential # ... Diagnosis #Workup ... Algorithm #nephrology #sodium
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... trauma (a.k.a. neurogenic ... obstruction to blood flow ... #Table #CriticalCare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... , Anaphylaxis, Neurogenic ... vasoactive drug pharmacology ... #inopressors #diagnosis ... management #comparison #table
Etiologies of Hypernatremia - Differential Diagnosis
GI losses / Insensible losses
Sodium Overload
Transcellular Movement of Water
Central Diabetes Insipidus
Etiologies of Hypernatremia ... - Differential ... Diagnosis GI losses ... Insensible losses Sodium ... Diagnosis #Table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... to infection • Neurogenic ... due to loss of Sodium ... #diagnosis #management ... #criticalcare #differential
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
• Most common type ... infection • Neurogenic ... due to loss of sodium ... #diagnosis #management ... warm #wet #dry #table
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
: SIADH, Renal Sodium ... can be high or low ... #differential # ... diagnosis #table ... #sodium #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome • Diagnosis ... • Hypovolemic shock ... and euvolemic hyponatremia ... Diuresis #Nephrology #Pharmacology ... #Medications #Table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
mental status and low ... essentially Cardiogenic Shock ... #diagnosis #differential ... cardiology #treatment #table ... icu #clinical #pharmacology