117 results
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
or Ineffective (UNa ... : SIADH, Renal Sodium ... solute intake, UNa ... #differential #diagnosis ... #table #sodium
Fractional Excretion of Sodium - FENa
Fractional Excretion of Sodium (FENa) = (Urine Na+ x Serum Cr)
Fractional Excretion of Sodium ... Fractional Excretion of Sodium ... FENa) = (Urine Na ... Serum Cr) / (Serum Na ... #calculation #diagnosis
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
- RAAS ON (UNa ... - RAAS OFF (UNa ... Hyponatremia #Algorithm #diagnosis ... #sodium #nephrology
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
pain, primary lung ... patients to maintain long-term ... • With lower Na ... promoting passive sodium ... osmolality < 538 AND UNa
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... pulm edema not PNA ... Lung POCUS shows ... Lung POCUS invaluable ... NOT definitively diagnose
Hydropneumothorax on Lung POCUS

HIV/AID(CD4<250) with cough, dyspnea.Left lung anterior mid. Left lung. Findings consistent with PNA.
POCUS HIV/AID ... , dyspnea.Left lung ... Left lung. ... consistent with PNA ... effusion #bubbles #POCUS
Hyponatremia - Correction for Hyperglycemia

#Diagnosis #Pseudohyponatremia #Hyperglycemia #Glucose #Correction #Formula #Sodium #Na
Hyperglycemia #Diagnosis ... Correction #Formula #Sodium ... #Na
Hyponatremia Differential Diagnosis Table

 • Step 1: Correct for hyperglycemia. Corrected Na = [(glucose - 100)/
Hyponatremia Differential Diagnosis ... Corrected Na = [ ... Urine Osm • Na ... #Differential #Diagnosis ... Table #nephrology #sodium
Focused POCUS Lung and Cardiac Ultrasound Exams in COVID-19 Patients
1. Turn machine on / Enter patient
Focused POCUS Lung ... views of right lung ... and 4 views left lung ... #Focused #POCUS ... #LungExam #diagnosis
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Pain, Primary lung ... using this as a long-term ... • With lower Na ... promoting passive sodium ... osmolality < 538 AND UNa