76 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... Workup Step 1 ... mmol/L - true hyponatremia ... • nephrotic syndrome ... #Diagnosis #Workup
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm 1) ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... #Differential #Diagnosis
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Workup Step #1 ... DrEricStrong #Hypernatremia ... #Management #Algorithm
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... output is a clue). 1) ... ([Na] / 140) - 1) ... enteral free water flushes ... #Treatment #management
Inherited Colorectal Cancer (CRS) Syndromes
Adenomatous Polyposis Syndromes:
 • Familial Adenomatous Polyposis (FAP), Attenuated FAP (AFAP), MUTYH
Colorectal Cancer (CRS) Syndromes ... Adenomatous Polyposis Syndromes ... Urinary → Lynch Syndrome ... Autosomal Dominant, 1 ... #diagnosis #management
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... 1. ... correction of 0.5-1 ... Demyelination Syndrome ... Correction #goal #rate #management
The Urine / Plasma Electrolyte Ratio - Guide to Fluid Restriction in Hyponatremia
 • U/P Ratio
Restriction in Hyponatremia ... • U/P Ratio > 1 ... U/P Ratio 0.5-1 ... #Restriction #Hyponatremia ... #diagnosis #management
Goals and limits for treatment of Hyponatremia Stratified by duration and risk of Osmotic Demyelination Syndrome
Demyelination Syndrome ... hypertonic saline at 1 ... hypertonic saline at 1 ... Demyelination #Syndrome ... goals #limits #management
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... 1) Is it hypotonic ... demyelination syndrome ... #Differential #Diagnosis ... #Treatment #management
Meigs Syndrome - Diagnosis and Management Summary
Triad:
1) Pleural effusion + 
2) Ascites + 
3) Benign Ovarian
Meigs Syndrome - ... Diagnosis and Management ... Summary Triad: 1) ... #diagnosis #ovarian ... #management