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diagnosis nephrology differential algorithm causes sodium management hypernatremia table treatment cancer low oncology pharmacology seizures workup anticonvulsants barre classification clinical
Finger Polyminimyoclonus (Mini Polymyoclonus) on Physical Exam Dr. Bruno Farnetano @bruno.farnetano #Polyminimyoclonus #Minipolymyoclonus #Mini #Polymyoclonus #PhysicalExam #clinical #video
Finger Polyminimyoclonus ... (Mini Polymyoclonus ... bruno.farnetano #Polyminimyoclonus ... Minipolymyoclonus #Mini ... clinical #video #neurology
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 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
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Diagnosis Algorithm Syndrome ... Pain/Post-op • Neurologic ... • Nephrotic syndrome ... osmole intake #Hyponatremia
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Diagnosis Algorithm Syndrome ... Pain/Post-op • Neurologic ... • Nephrotic syndrome ... osmole intake #Hyponatremia
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic Hyponatremia ... irrigants Hypotonic Hyponatremia ... Cirrhosis, Nephrotic syndrome ... diagnosis #sodium #nephrology
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Tea and Toast Syndrome ... failure, nephrotic syndrome ... thecurbsiders #Hyponatremia ... Algorithm #causes #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Stress, Drugs, Syndrome ... • Nephrotic syndrome ... Cardiac failure #Hyponatremia ... Algorithm #Causes #nephrology
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Hyponatremia Correction ... Overcorrection of Hyponatremia ... Demyelination Syndrome ... MetroHealth_EM #Hyponatremia ... rate #management #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - ... Extrarenal Hypernatremia ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Workup #Algorithm #nephrology
Goals and limits for treatment of Hyponatremia Stratified by duration and risk of Osmotic Demyelination Syndrome
for treatment of Hyponatremia ... Demyelination Syndrome ... Acute Hypotonic Hyponatremia ... given over 10 min ... Demyelination #Syndrome
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