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differential nephrology causes dizzy hyponatremia vertigo management gitelman heat heatstroke high hyperkalemia hypotonic illness low pathophysiology physiologic potassium stroke syndrome
TiTrATE schema to approach to Dizziness • Time Course: Continuous or Episodic • Triggers: Present or
to approach to Dizziness ... yet imprecise symptom ... #dizzy #algorithm ... #differential #diagnosis ... #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm True Vertigo - Illusion of Rotary Movement Peripheral Vestibular
Causes of Dizziness ... - Differential Diagnosis ... Algorithm True ... vomiting, auditory symptoms ... symptoms/signs,
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... for Dizziness and ... No auditory symptoms ... Long symptom-free ... #Vertigo #Algorithm
Dizziness and Vertigo Algorithm Presyncope: • Feels "faint" or like they are going to "pass out" •
Dizziness and Vertigo ... Algorithm Presyncope ... #Vertigo #Algorithm ... #differential #diagnosis ... #neurology #management
Dizziness - Differential Diagnosis Framework "Tell me what you mean by dizzy without using the word dizzy." Vertigo:
Dizziness - Differential ... Diagnosis Framework ... • Orthostatic: Hypovolemia ... Autonomic dysfunction, Meds ... #neurology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... ON (UNa < 30): Hypovolemia ... #Hyponatremia #Algorithm ... #diagnosis #sodium ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
- Differential Diagnosis ... Algorithm Hypovolemic ... , CNS Disease, Meds ... #Algorithm #diagnosis ... #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Present (Uosm ≥100): Hypovolemia ... #differential #diagnosis ... #table #sodium ... #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... Muscle weakness, dizziness ... Gitelman #Syndrome #diagnosis ... #nephrology #management
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
- Differential Diagnosis ... Dehydration - Loss of sodium ... Syncope • Signs/Symptoms ... Hyperventilation, Dizziness ... - Hyperkalemia
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