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differential causes nephrology algorithm management hyponatremia classification edema noncardiogenic pediatrics peds pulmonary rhabdomyolysis acidosis cardiology dims elevation epilepsy gitelman heat
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... • Euvolemic (Low ... , Cushing syndrome ... #Differential #Diagnosis ... Algorithm #nephrology #sodium
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
ON (UNa < 30): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... Primary polydipsia, Low ... #Algorithm #diagnosis ... #sodium #nephrology
Causes of Seizures - Differential Diagnosis Algorithm Unprovoked - Epilepsy: • Focal: Simple, Complex • Generalized: Absence,
Causes of Seizures ... vasoconstriction syndrome ... Traumatic brain injury ... Hyperglycemia, Hyponatremia ... Hypomagnesemia, Hypocalcemia
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... - Compartment syndrome ... exertion/training - Seizures ... Hyperuricemia • Hyponatremia ... #Differential #Diagnosis
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... Framework NCPE ... respiratory distress syndrome ... /eclampsia • Neurogenic ... cerebral hemorrhage, seizure
Causes of Pediatric Seizures - Differential Diagnosis Algorithm Infantile: • Benign Focal Epilepsy of Infancy • West
- Differential Diagnosis ... Hyperglycemia • Hypocalcemia ... • Hyponatremia ... Structural: • Head Injury ... #Differential #Diagnosis
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
- Differential Diagnosis ... , Compartment syndrome ... , Electrical injury ... exertion/training, Seizures ... Dialysis for severe hyperkalemia
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
can be high or low ... Present (Uosm ≥100): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... #differential #diagnosis ... #table #sodium
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
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... demyelination syndrome ... of symptomatic (seizures ... #Differential #Diagnosis ... #nephrology #sodium
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