11 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... insipidus (central or nephrogenic ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Algorithm #nephrology #sodium
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... Repeat the sodium ... • nephrotic syndrome ... #Diagnosis #Workup
Causes of Enuresis - Differential Diagnosis Algorithm
Primary Nocturnal Enuresis (Urinary Control Never Achieved)
 • Delayed Maturation
Cerebral Palsy, Neurogenic ... Bladder, Seizure ... Enuresis: • Pediatric ... (Hinman Syndrome ... #Causes #Peds #Pediatrics
Causes of Pediatric Seizures - Differential Diagnosis Algorithm
Infantile:
 • Benign Focal Epilepsy of Infancy
 • West
Causes of Pediatric ... Seizures - Differential ... Hypocalcemia • Hyponatremia ... Cataplexy #Seizures ... #Causes #Peds #Pediatrics
Inherited Defects in Kidney Tubule Epithelial Cells

Renal glucosuria - Na+-dependent glucose cotransporter
Cystinuria - Amino acid transporter
Bartter
cell epithelial sodium ... of epithelial sodium ... renal tubular acidosis ... exchanger,H+-ATPase Nephrogenic ... -2 deficiency Nephrogenic
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Ischemia, Compartment Syndrome ... Hypothermia & Shivering, Seizures ... Beta-Agonists, ↑ work ... toxic alcohols, Sodium ... in Short Bowel Syndrome
Causes of Provoked Pediatric Seizures - Differential Diagnosis Algorithm - "DIMS" Mnemonic
Drugs:
 • Drug overdose
 •
Causes of Provoked Pediatric ... Seizures - Differential ... Hypocalcemia • Hyponatremia ... • Sturge-Weber Syndrome ... #Causes #Peds #Pediatrics
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... 3 questions to work ... 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 ... heat illness → Hypernatremia ... - Metabolic acidosis ... consciousness, Coma/seizure
Patients with CHD are exceptionally sensitive to the effects of bronchiolitis on their volume status
Four principles
Anxiolysis to improve work ... kg. 3.Correct acidosis ... Give IV sodium bicarbonate ... Management #Peds #Pediatrics