34 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... Step 2. ... Assess volume status ... Diagnosis #Workup #Algorithm ... #Nephrology
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... Evaluation Algorithm ... elevated Step 2: ... Assess volume status ... Consider additional tests
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... history Step #2 ... & desmopressin test ... #Sodium #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Serum Osmolarity 2) ... Acid → renal salt wasting ... #nephrology #sodium
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
attention to volume status ... 2) Is ADH elevated ... Assess volume status ... up to 3x in the setting ... #management #nephrology
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... → Benzo Dose 2 ... seizures #management #treatment ... #algorithm #peds ... #pediatrics #neurology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... renal mechanism 2) ... Volume Status ... Diagnosis #Workup #Algorithm ... #nephrology #sodium
A lazy man's classification of hyponatremia
There are two possible approaches to the diagnosis of hyponatremia: .
classification of hyponatremia ... essentially the same tests ... regarding their fluid status ... cerebral salt wasting ... #Algorithm #Differential
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... of generalized status ... In short, best outcomes ... #Management #Neurology ... Refractory #Seizures #Algorithm
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Toxins - Drugs - Statins ... Hyperuricemia • Hyponatremia ... Treatment: ... disease 2. ... #nephrology