28 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 ... • nephrotic syndrome ... renal failure #Hypernatremia
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 ... Diagnosis #Neurology #Signs
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... 1) Check Urine Osmolality ... Extrarenal Hypernatremia ... Hypervolemic: Conn syndrome ... , Cushing syndrome
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Calculate serum osmolality ... Measure urine osmolality ... demyelination syndrome ... of symptomatic (seizures
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... asymptomatic to seizures ... urea causes the hyponatremia ... True hyponatremia ... #hyponatremia #ADH
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... vasoconstriction syndrome ... Hyperglycemia, Hyponatremia ... Eclampsia, Prophyria #Seizures
Causes of Pediatric Seizures - Differential Diagnosis Algorithm
Infantile:
 • Benign Focal Epilepsy of Infancy
 • West
Causes of Pediatric Seizures ... • Dravet Syndrome ... Infection: • Febrile Seizures ... Hypocalcemia • Hyponatremia ... Cataplexy #Seizures
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... Hypertonic Saline: seizure ... Overcorrection of Hyponatremia ... Demyelination Syndrome ... MetroHealth_EM #Hyponatremia
Clinical manifestations of acute liver failure 

Brain: 
Hepatic encephalopathy,  
Cerebral edema,  
Intracranial hypertension,
hypertension, Seizures ... Hepatorenal syndrome ... Hepatoadrenal syndrome ... Hepatopulmonary syndrome ... liver #failure #Signs
Clinical manifestations of anaphylaxis. 
Neurological (<15%): Dizziness, syncope, seizures, Confusion, impending doom. headache
Angioedema: Lips, tongue, orbit,
Dizziness, syncope, seizures ... arrest, Kounis syndrome ... #anaphylaxis #signs