7 results
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 ... Has pleural effusion ... within fluid-air bubbles ... #bubbles #POCUS
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... case of hypotonic hyponatremia ... : SIADH, Renal Sodium ... with poor renal perfusion ... diagnosis #table #sodium
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Neurological event 2) Sodium ... loss from tubules ... reabsorption 5) ↓ Na ... diagnosis #nephrology #hyponatremia
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... in the renal tubules ... concentration (UNa ... intravascular volume; 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
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... severe symptoms + Na ... Check levels after infusion ... Wilkinsonjonny #Hyponatremia ... algorithm #treatment #sodium