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diagnosis differential management causes hyponatremia rhabdomyolysis acute algorithm gitelman heat heatstroke hypokalemia hypotonic illness kidney pathophysiology physiologic stroke summary table
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
• Euvolemic (Low ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Workup #Algorithm #nephrology ... #sodium
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 ... Cirrhosis, Nephrotic syndrome ... Primary polydipsia), Low ... #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Electrical ... exertion/training - Seizures ... Hyperuricemia • Hyponatremia ... + myoglobin AKI ... #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
, Compartment syndrome ... , Electrical injury ... exertion/training, Seizures ... Dermatomyositis) AKI ... Treatment: 1
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Acute Kidney Injury ... (AKI) - Management ... Diuretics • If low ... • Hepatorenal syndrome ... ureteral stent(s) • Neurogenic
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Treatment: Treatment ... demyelination syndrome ... of symptomatic (seizures ... #management #nephrology ... #sodium
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
Dehydration - Loss of sodium ... conditions - Neurogenic ... sweat Heat Injury ... heat illness → Hypernatremia ... consciousness, Coma/seizure
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... alkalosis • Normal or low ... tachycardia • Seizures ... Rhabdomyolysis Treatment ... #diagnosis #nephrology
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