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diagnosis differential dka hypernatremia nephrology peds algorithm management diabeticketoacidosis ebm endocrinology high infusion ketoacidosis nejm nocturnal pathophysiology rates treatment visualabstract
Causes of Enuresis - Differential Diagnosis Algorithm Primary Nocturnal Enuresis (Urinary Control Never Achieved) • Delayed Maturation
Causes of Enuresis ... • Cystitis • Diabetes ... Mellitus • Other (Diabetes ... : • Pediatric ... #Peds #Pediatrics
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... Diuretics • Osmotic diuresis ... • Central diabetes ... • Nephrogenic diabetes ... #nephrology #sodium
Diabetic Ketoacidosis Management Priorities 1. Fluids 2. Insulin 3. Potassium 4. Acidosis 5. Re-establish oral fluids,
Diabetic Ketoacidosis ... an underlying cause ... #DKA #Diabetic ... #Ketoacidosis #Diabetes ... #Management #Pediatrics
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... water loss, Serum Sodium ... administration • Osmotic diuresis ... 300 mmol/kg • Diabetes ... Diagnosis #Algorithm #Causes
Diabetic Ketoacidosis (DKA) - Pathogenesis and Clinical Findings • Note: in DKA, body K+ is lost
Diabetic Ketoacidosis ... lost via osmotic diuresis ... out of cells may cause ... Treating DKA: 1) +++ fluids ... endocrinology #diabetes
Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis - Kupperman et al. NEJM 2018 https://www.nejm.org/doi/full/10.1056/NEJMoa1716816 Study
Infusion Rates for Pediatric ... Diabetic Ketoacidosis ... out what does cause ... VisualAbstract #Peds #Pediatrics ... #DKA #IVFluids
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
unavailable 2) Osmotic Diuresis ... post-obstructive 3) Diabetes ... with isotonic fluids ... delivered with D5 fluids ... management #nephrology #sodium
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