11 results
Limping Child
#Diagnosis #Peds #Limping #Child #Differential #Algorithm #PEMSource
Limping Child # ... Diagnosis #Peds ... #Limping #Child ... #Differential #Algorithm ... #PEMSource
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypo-osmolar Hypotonic HypoNatremia ... Algorithm (Serum ... Assess Volume Status ... #Algorithm #Diagnosis ... #Nephrology #Differential
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... Assess volume status ... #Diagnosis #Workup ... #Algorithm #Nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia ... Differential Algorithm ... addition) of volume status ... #Differential #Algorithm ... #Diagnosis #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... mechanism 2) Volume Status ... #Workup #Algorithm ... #nephrology #sodium
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY

RED FLAGS - In all cases there are specific
markers which
THE LIMPING OR NON-WEIGHT ... splenomegaly, abnormal neurology ... #NWB #Algorithm ... Pathway #Child #Peds ... #Pediatrics #Diagnosis
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... , CNS Disease, Meds ... #Algorithm #diagnosis ... #nephrology #sodium
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
Hyponatremia Diagnostic ... Algorithm 1) Check ... - Check volume status ... #Diagnosis #Algorithm ... #nephrology
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
REMOVE UNECCESARY MEDS ... , & to correct hyponatremia ... high aldosterone states ... to diuresis. - Timing ... Early nephrologv
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Differential Diagnosis ... Toxins - Drugs - Statins ... Hyperuricemia • Hyponatremia ... Shift of extracellular ... causes #treatment #nephrology