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clinical physicalexam sign neurology reflex cardiology msk orthopedics neck endocrinology regurgitation sports pediatrics pyramidal jvp hypocalcemia test gowers aortic dystrophy
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
Diuresis (Urine Osm ... <100 mOsm/kg) ... Central Diabetes Insipidus ... Nephrogenic Diabetes Insipidus ... 100-200 mOsm/kg
Central vs Nephrogenic Diabetes Insipidus - Desmopressin Challenge Give desmopressin (intranasal, SQ, IV) and monitor UOsm every
Nephrogenic Diabetes Insipidus ... IV) and monitor UOsm ... • No Rise in UOsm ... < 45% rise in UOsm ... Nephrogenic #Diabetes #Insipidus
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Algorithm - Diabetes Insipidus ... #2 - Assess the Uosm ... Sodium #nephrology #insipidus
Urine chemistry tests for the diagnostic evaluation of a patient with polyuria UOsm <100 mOsm/Kg (H2O diuresis)
with polyuria UOsm ... polydipsia • Diabetes insipidus ... 2 × (Na + K) = UOsm ... × (Na + K) << UOsm ... diagnosis #nephrology #Uosm
Diabetes Insipidus vs Syndrome of Inappropriate ADH (SIADH) - Comparison Table Diabetes Insipidus - Inadequate ADH SIADH -
Diabetes Insipidus ... Table Diabetes Insipidus ... #Diabetes #Insipidus ... Pathophysiology #Signs
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Loss - DDAVP -> Uosm ... Central Diabetes Insipidus ... - DDAVP -> Uosm ... Nephrogenic Diabetes Insipidus
Polyuria - Differential Diagnosis Algorithm Polyuria = >3L Urine output / 24 hours Urine osmolality = 2 (Na
osmolality > 300 mosm ... osmolality < 100 mosm ... kg • Diabetes Insipidus
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Osmolality: > 600 mOsm ... mechanism ≤ 600 mOsm ... Euvolemic: Diabetes insipidus
Increased Urination - Differential Diagnosis Framework - Increased Volume / Frequency • Increased osmotic load (Increased
Increased urine osm ... usually low urine osm ... resistance (Diabetes insipidus ... intake (low urine osm
Corrigan's Sign in Severe Aortic Regurgitation - Dr. Andres S. Kohan https://twitter.com/KohanAndres #Corrigans #AorticRegurgitation #Pulse #PhysicalExam #Video #Neck
Corrigan's Sign ... #PhysicalExam #Video ... #Neck #Signs #
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