29 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... insipidus (central or nephrogenic ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Algorithm #nephrology #sodium
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Evaluation of Hyponatremia ... 2) Presence of symptoms ... nausea, confusion, seizures ... volume status (edema ... EM #IM #Nephro #Hyponatremia
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Hypernatremia - ... Diabetes Insipidus: neurogenic ... , nephrogenic 4 ... risk for cerebral edema ... management #nephrology #sodium
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Noncardiogenic Pulmonary Edema ... Framework NCPE Pathophysiology ... respiratory distress syndrome ... /eclampsia • Neurogenic ... cerebral hemorrhage, seizure
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... Hypertonic Saline: seizure ... 100-110 - Symptoms ... Overcorrection of Hyponatremia ... Demyelination Syndrome
Clinical manifestations of acute liver failure 

Brain: 
Hepatic encephalopathy,  
Cerebral edema,  
Intracranial hypertension,
encephalopathy, Cerebral edema ... hypertension, Seizures ... Hepatorenal syndrome ... Hepatoadrenal syndrome ... failure #Signs #Symptoms
Clinical manifestations of anaphylaxis. 
Neurological (<15%): Dizziness, syncope, seizures, Confusion, impending doom. headache
Angioedema: Lips, tongue, orbit,
Dizziness, syncope, seizures ... arrest, Kounis syndrome ... oropharyngeal edema ... <10%): Scrotal edema ... anaphylaxis #signs #symptoms
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
• Headache • Seizures ... matter vasogenic edema ... • Headache • Seizures ... Etiology: • Pathophysiology ... Neurological symptoms
Gestational Hypertension & Preeclampsia

Gestational Hypertension (gHTN) 
• BP > 140/90 
• Onset > 20 wks gestation
• Pulmonary edema ... Cerebral/visual symptoms ... Preeclampsia + Grand Mal Seizure ... HELLP Syndrome
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome ... and nephrotic syndrome ... • Hyponatremia ... • Nephrogenic ... and euvolemic hyponatremia