10 results
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Cerebral Salt Wasting ... Neurological event 2) Sodium ... loss from tubules ... reabsorption 5) ↓ Na ... diagnosis #nephrology #hyponatremia
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... - RAAS ON (UNa ... - RAAS OFF (UNa ... Reset osmostat, Cerebral ... Algorithm #diagnosis #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... or Ineffective (UNa ... : SIADH, Renal Sodium ... Insufficiency, Cerebral ... diagnosis #table #sodium
Hydropneumothorax on Lung POCUS

HIV/AID(CD4<250) with cough, dyspnea.Left lung anterior mid. Left lung. Findings consistent with PNA.
POCUS HIV/AID ... consistent with PNA ... within fluid-air bubbles ... hydropneumothorax #effusion #bubbles ... #POCUS #clinical
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Based Approach to Hyponatremia ... acid >4 • Urine Na ... Renal losses, Cerebral ... SatyaPatelMD #Volume #Hyponatremia ... algorithm #diagnosis #sodium
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... carcinoma of the lung ... osmostat - Cerebral ... DrEricStrong #Hyponatremia ... Table #Causes #Sodium
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... consequence of cerebral ... in the renal tubules ... concentration (UNa ... SIADH #Thiazides #UNAa
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
pain, primary lung ... • With lower Na ... promoting passive sodium ... osmolality < 538 AND UNa ... SIADH #Management #hyponatremia
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 ... promoting passive sodium ... osmolality < 538 AND UNa ... SIADH #Management #hyponatremia
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Hypernatremia - ... and Treatment Hypernatremia ... Water (TBW) x (([Na ... patients at risk for cerebral ... management #nephrology #sodium