53 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... • nephrotic syndrome ... renal failure #Hypernatremia ... Workup #Algorithm #Nephrology
Pathophysiology Based Approach to Hyponatremia - Diagnostic Algorithm

Not the "classic" Volume based approach. 

#Hyponatremia #Algorithm #Pathophysiology
Based Approach to Hyponatremia ... #Hyponatremia #Algorithm ... #Differential #Nephrology ... #UOsm #Osmolality
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... 1) Check Urine Osmolality ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Workup #Algorithm #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... Diagnosis Algorithm Hypernatremia ... /L High Urine Osmolality ... glucosuria Low Urine Osmolality ... #Nephrology #Differential
Generalized Seizures and Pseudoseizures
Generalized seizures "are conceptualized as originating as some point within, and rapidly engaging,
Generalized Seizures ... Generalized seizures ... either a partial seizure ... hyperglycemia, hyponatremia ... Classification #Diagnosis #Neurology
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 ... Rachel Stern MD #Hyponatremia ... Diagnosis #Algorithm #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Calculate serum osmolality ... Measure urine osmolality ... demyelination syndrome ... of symptomatic (seizures ... Treatment #management #nephrology
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... vasoconstriction syndrome ... Hyperglycemia, Hyponatremia ... Eclampsia, Prophyria #Seizures ... Algorithm #Causes #neurology
Rate of Correction of Hypernatremia and Health Outcomes in Critically Ill Patients

CJASN May 2019, 14 (5)
Correction of Hypernatremia ... correction of hypernatremia ... for mortality, seizure ... #Hypernatremia # ... Correction #EBM #Nephrology
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... Hypertonic Saline: seizure ... Overcorrection of Hyponatremia ... Demyelination Syndrome ... rate #management #nephrology