9 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... Check plasma osmolality ... mmol/L - true hyponatremia ... EUVOLEMIC • SIADH ... renal failure #Hypernatremia
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... retention 1) Serum Osmolarity ... 2) Urine Osmolarity ... Low Uric Acid → SIADH ... Rachel Stern MD #Hyponatremia
A lazy man's classification of hyponatremia
There are two possible approaches to the diagnosis of hyponatremia: .
classification of hyponatremia ... the diagnosis of hyponatremia ... same tests (serum osmolality ... , urine osmolality ... the patient has SIADH
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... asymptomatic to seizures ... True hyponatremia ... #hyponatremia #ADH ... EBV #potomania #SIADH
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... and Treatment Hyponatremia ... Calculate serum osmolality ... Measure urine osmolality ... of symptomatic (seizures
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... Saline: • If Urine osmolality ... SatyaPatelMD #SIADH ... #Management #hyponatremia
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... underlying cause of SIADH ... NS • If Urine osmolality ... SatyaPatelMD #SIADH ... #Management #hyponatremia
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
Causes of Provoked Pediatric Seizures - Differential Diagnosis Algorithm - "DIMS" Mnemonic
Drugs:
 • Drug overdose
 •
Causes of Provoked Pediatric ... Seizures - Differential ... Hypocalcemia • Hyponatremia ... DIMS #Mnemonic #Seizures ... #Causes #Peds #Pediatrics