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diagnosis differential causes management nephrology edema noncardiogenic pulmonary acidosis acute aki algorithm cardiology classification elevation gitelman heat heatstroke hypokalemia hyponatremia
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
• Euvolemic (Low ... insipidus (central or nephrogenic ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Algorithm #nephrology #sodium
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Diagnosis Framework NCPE ... respiratory distress syndrome ... /eclampsia • Neurogenic ... cerebral hemorrhage, seizure ... pulmonary #edema #NCPE
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
and Treatment ... Treatment: Treatment ... demyelination syndrome ... of symptomatic (seizures ... management #nephrology #sodium
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Compartment syndrome ... exertion/training - Seizures ... Hyperuricemia • Hyponatremia ... or compartment syndrome ... Treatment:
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Acute Kidney Injury ... derangements: • If low ... Diuretics • If low ... • Hepatorenal syndrome ... ureteral stent(s) • Neurogenic
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
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework High Altitude Pulmonary Edema: • Accumulation
Pulmonary Edema (NCPE ... Tachypnea, - Low-grade ... and diffuse Neurogenic ... Traumatic brain injury ... hemorrhage, and seizure
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
liver or renal injury ... before beginning treatment ... Heavy exercise - Seizures ... LV failure - Low ... - Compartment syndrome
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... alkalosis • Normal or low ... tachycardia • Seizures ... Rhabdomyolysis Treatment
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