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diagnosis nephrology management hypernatremia pediatrics treatment 1 acth adrenal arteritis bronchiolitis chd comatose congenitalheartdisease endocrinology epilepticus evaluation gca giantcell hypotonic
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential ... history Step #2 ... Uglucose Step #3 ... #Sodium #nephrology ... #insipidus #DI
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Serum Osmolarity 2) ... Urine Osmolarity 3) ... Acid → renal salt wasting ... #nephrology #sodium
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... renal mechanism 2) ... • Euvolemic (Low ... #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... Cerebral Salt Wasting ... #differential # ... #nephrology
Hyponatremia Diagnostic Algorithm 1) Check serum osmolality 2) Check urine osmolality 3) ADH Dependent - Check volume status, urine
serum osmolality 2) ... urine osmolality 3) ... status, urine sodium ... #differential # ... hyponatremia #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
approach to the differential ... 2) Is ADH elevated ... up to 3x in the setting ... #Differential # ... #sodium
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
urine osm (in DI ... , Dehydration: neurologic ... water unavailable 2) ... post-obstructive 3) ... #sodium
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... Step 2) Confirmation ... Step 3) Differentiate ... - Low ACTH is
Patients with CHD are exceptionally sensitive to the effects of bronchiolitis on their volume status Four principles
principles of treating ... 0.05-0.1mg/kg. 3. ... Give IV sodium bicarbonate ... saturation is very low ... #Management #Peds
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Awareness • Injury ... safe to stop 2. ... stimulation 3. ... #PhysicalExam #neurology
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