41 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
→ Benzo Dose 2 ... Anti-epileptic #3 ... #management #treatment ... #algorithm #peds ... #pediatrics #neurology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Diagnosis Algorithm ... history Step #2 ... Uglucose Step #3 ... & desmopressin test ... #Sodium #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Diagnosis Algorithm ... Serum Osmolarity 2) ... Urine Osmolarity 3) ... Acid → renal salt wasting ... #nephrology #sodium
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... Differential Diagnosis Algorithm ... Traumatic brain injury ... Hyperglycemia, Hyponatremia ... #Causes #neurology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... 2) Is ADH elevated ... up to 3x in the setting ... of symptomatic (seizures ... #management #nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... Step 2. ... administration Step 3. ... Diagnosis #Workup #Algorithm ... #Nephrology
Hyponatremia with Severe Symptoms - Management Algorithm with Hypertonic Saline
The goal of acute management is to
Hyponatremia with ... Symptoms - Management Algorithm ... Na causing the seizure ... #treatment #Hypertonic ... #Saline #nephrology
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... Hypertonic Saline: seizure ... increasing Na ~5mEq 2. ... 10-12 mEq/day 3. ... rate #management #nephrology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... In short, best outcomes ... rely upon rapid seizure ... #Management #Neurology ... #Algorithm #PulmCrit
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Cerebral Salt Wasting ... Neurological event 2) ... from tubules 3) ... Pathophysiology #diagnosis #nephrology ... #hyponatremia #