15 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 ... #table #management
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
acid <4 • SIADH, Hypothyroidism ... , Low solute intake ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine ... : SIADH, Renal Sodium ... can be high or low ... Uosm), Hypothyroidism ... differential #diagnosis #table
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... in addition) of volume ... low, uric acid ... and uric acid low ... #Differential #Algorithm
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Medications (diuretics), Hypothyroidism ... Primary polydipsia, Low ... solute intake, ... #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
Causes of Anemia by Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm
Low Mean Corpuscular Volume (<80
Differential Diagnosis Algorithm ... Low Mean Corpuscular ... Volume (<80 fL) ... Liver Disease • Hypothyroidism ... Differential #Diagnosis #Algorithm
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Effective Circulating Volume ... ”) - Volume depletion ... Endocrinopathies - Hypothyroidism ... Differential #Diagnosis #Table ... #Causes #Sodium
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... Beer Potomania - Low ... solute diet. ... • Euvolemic - Hypothyroidism ... Differential #Diagnosis #Algorithm