7 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... • Euvolemic (Low ... • Hypovolemic: Diuretics ... , Cushing syndrome ... Algorithm #nephrology #sodium
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
CCB, BB, BRASH syndrome ... Cardiac Tamponade, Pulmonary ... ), Neurogenic (SCI ... , diuretics), Low ... #diagnosis #differential
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Diagnosis of ... Torsemide) • Acute pulmonary ... • Hyponatremia ... • Hypovolemic shock ... and euvolemic hyponatremia
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Medications, Spinal Cord Injury ... Decompensated CHF ... • Obstructive: Pulmonary ... Abdominal compartment syndrome
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
• Hypovolemia: Diuretics ... Cirrhosis, Nephrotic Syndrome ... Differential #Algorithm #diagnosis ... causes #nephrology #sodium ... #low
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
liver or renal injury ... Heavy exercise - Seizures ... LV failure - Low ... output - Acute pulmonary ... - Compartment syndrome
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... excreted using diuretics ... essentially Cardiogenic Shock ... acute coronary syndrome ... #heartfailure #chf