31 results
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Calculate serum osmolality ... Measure urine osmolality ... Treatment: Treatment ... demyelination syndrome ... of symptomatic (seizures
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
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 (<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
Hyponatremia with Severe Symptoms - Management Algorithm with Hypertonic Saline
The goal of acute management is to
Hyponatremia with ... Na causing the seizure ... kidney_boy #Hyponatremia ... Management #Algorithm #treatment
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Encephalopathy Syndrome ... (PRES) - Treatment ... are preferred Seizure ... Encephalopathy #Syndrome ... #Treatment #Management
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long QT Syndrome ... - Syncope - Seizure ... in new syncope/seizures ... family history) Treatment ... Congenital #LongQT #Syndrome