18 results
REBEL Review 71: Treatment of Thyroid Storm 

Propranolol 
Esmolol 
Propylthiouracil (PTU) 
Methimazole 
Saturated Solution of Potassium
Treatment of Thyroid Storm ... Lugol's Solution Sodium ... #thyroidstorm #hyperthyroidism
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Volume Based Approach ... acid <4 • SIADH, Hypothyroidism ... SatyaPatelMD #Volume ... #Hyponatremia #algorithm ... #diagnosis #sodium
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Repeat the sodium ... Assess volume status ... • extra-renal volume ... • SIADH • hypothyroidism ... Diagnosis #Workup #Algorithm
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... Hypovolemic - Give volume ... CKD, Thiazides, Hypothyroidism ... Differential #Diagnosis #Algorithm ... diagnosis #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine ... poor response to volume ... : SIADH, Renal Sodium ... or low Uosm), Hypothyroidism ... diagnosis #table #sodium
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... in addition) of volume ... examination, check urine sodium ... acid: - Urine sodium ... #Differential #Algorithm
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Medications (diuretics), Hypothyroidism ... polydipsia, Low solute ... #Hyponatremia #Algorithm ... #diagnosis #sodium
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Effective Circulating Volume ... ”) - Volume depletion ... Endocrinopathies - Hypothyroidism ... Table #Causes #Sodium
Causes of Anemia by Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm
Low Mean Corpuscular Volume (<80
Mean Corpuscular Volume ... Differential Diagnosis Algorithm ... Mean Corpuscular Volume ... Liver Disease • Hypothyroidism ... Differential #Diagnosis #Algorithm
Orthostatic Hypotension Management Algorithm
 • Hypovolemic?  Yes → Resuscitate
 • Volume Overloaded? No → Fludrocortisone
Hypotension Management Algorithm ... Resuscitate • Volume ... intravascular volume ... → Decrease in sodium ... Hypotension #Management #Algorithm