24 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... • nephrotic syndrome ... #Diagnosis #Workup ... #Algorithm #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... , Cushing syndrome ... #Workup #Algorithm ... #nephrology #sodium
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Independent: • Tea ... and Toast Syndrome ... Algorithm #causes #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... cirrhosis, nephrotic syndrome ... Potomania - Tea ... UnremarkableLab #Hyponatremia ... #nephrology #sodium
Locked-In Syndrome on Physical Exam

56 year-old male with acute onset altered sensorium. Suffered a cardiac arrest
Locked-In Syndrome ... Physical Exam 56 year-old ... #PhysicalExam # ... clinical #video ... #neurology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Then, ask 3 questions ... to work through ... demyelination syndrome ... #Differential #Diagnosis
Jaw Clonus on Physical Exam

A 24-year-old man presented with progressive dysphagia, dysarthria, and weakness in his
Physical Exam A 24-year-old ... consistent with a diagnosis ... #Jaw #Clonus #PhysicalExam ... #Clinical #Video ... #ALS #Neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Holmes-Adie Syndrome ... females Differential Diagnosis ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
Physical Exam 53-year-old ... evaluation confirmed a diagnosis ... Woltmans #Signs #PhysicalExam ... Delayed #Clinical #Video ... #Neurology #Endocrinology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
accommodation (i.e., light-near ... #Adies #Pupil #PhysicalExam ... #clinical #video ... ophthalmology #neurology ... #syndrome