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differential management neurology hypokalemia syndrome sodium clinical pathophysiology barre endocrinology guillain hematology hyperkalemia hypernatremia meningitis mri radiology table urine workup
Diagnostic Approach to Hyponatremia Box A: • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose • Pseudohyponatremia:
Diagnostic Approach ... Box A: • Normo ... 8, Somnolence, Seizures ... Primary Polydipsia, Low ... #Diagnosis #Algorithm
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... NORMAL PLASMA OSMOLALITY ... HYPERVOLEMIC • CHF ... #Diagnosis #Workup ... #Algorithm #Nephrology
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Algorithm Hypertensive ... Hyperplasia • Normal ... Al, Normal R - ... #Algorithm #nephrology ... #causes #low #potassium
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Losses: • Normal ... #Algorithm #causes ... #potassium #low ... #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... excrete water normally ... of symptomatic (seizures ... include vaptans (HF ... #nephrology #sodium
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... Primary polydipsia, Low ... #algorithm #causes ... #nephrology
Hyponatremia with Severe Symptoms - Management Algorithm with Hypertonic Saline The goal of acute management is to
Hyponatremia with ... probably not the low ... Na causing the seizure ... #treatment #Hypertonic ... #Saline #nephrology
Causes of Seizures - Differential Diagnosis Algorithm Unprovoked - Epilepsy: • Focal: Simple, Complex • Generalized: Absence,
Causes of Seizures ... Algorithm Unprovoked ... Hyperglycemia, Hyponatremia ... #Algorithm #Causes ... #neurology
Causes of Secondary / Provoked Seizures - Differential Diagnosis Algorithm Febrile Infection • Sepsis • Encephalitis • Meningitis Metabolic
Causes of Secondary ... / Provoked Seizures ... Hypocalcemia • Hyponatremia ... #Diagnosis #Algorithm ... #Causes
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... (CHF, cirrhosis ... #Algorithm #diagnosis ... #nephrology #sodium
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