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diagnosis differential nephrology hyponatremia causes hypernatremia comparison dosages dosing elevated endocrinology hypertension hypotonic injury low management myocardial pharmacology physiologic screening
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
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Diagnosis and Workup ... Repeat the sodium ... • SIADH • hypothyroidism ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine ... : SIADH, Renal Sodium ... or low Uosm), Hypothyroidism ... differential #diagnosis #table ... #sodium #nephrology
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 - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... mechanism 2) Volume ... #Algorithm #nephrology ... #sodium
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
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
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
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Oral sodium loading ... salivary cortisol • Hypothyroidism ... • Hyperthyroidism ... Causes #Screening #Workup ... #table
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm • Chronic Myocardial Injury: End
Diagnosis and Workup ... Algorithm • ... Tachycardia-induced HF, Severe Volume ... Occlusion • Stable ... Differential #Diagnosis #Algorithm
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