18 results
REBEL Review 71: Treatment of Thyroid Storm 

Propranolol 
Esmolol 
Propylthiouracil (PTU) 
Methimazole 
Saturated Solution of Potassium
Treatment of Thyroid Storm ... #thyroidstorm #hyperthyroidism ... #table #management
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... • SIADH • hypothyroidism ... renal failure #Hypernatremia ... Diagnosis #Workup #Algorithm
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic ... Hyponatremia: Hyperglycemia ... Medications (diuretics), Hypothyroidism ... #Algorithm #diagnosis
Causes of Altered Level of Consciousness GCS < 7 - Differential Diagnosis Algorithm

Brain Involvement - Hemispheric
Differential Diagnosis Algorithm ... Metabolic Acidosis • Hypernatremia ... Hyperthermia • Thyroid Storm ... deficiency • Hyponatremia ... Differential #Diagnosis #Algorithm
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... • Euvolemic - Hypothyroidism ... thecurbsiders #Hyponatremia ... Differential #Diagnosis #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... Hormonal changes • Hypothyroidism ... osmole intake #Hyponatremia ... Differential #Diagnosis #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... Hormonal changes • Hypothyroidism ... osmole intake #Hyponatremia ... Differential #Diagnosis #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... Glucocorticoid deficiency, Hypothyroidism ... Cardiac failure #Hyponatremia ... Differential #Diagnosis #Algorithm
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Endocrinopathies - Hypothyroidism ... DrEricStrong #Hyponatremia ... Differential #Diagnosis #Table
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... case of hypotonic hyponatremia ... normal volume-based algorithm ... or low Uosm), Hypothyroidism ... differential #diagnosis #table