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nephrology dermatomes differential extremity motor sensory algorithm arm gitelman hypernatremia hypokalemia hyponatremia hypotonic leg lowerlimb management pathophysiology physiologic upperlimb
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Dermatomes and Myotomes ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... #diagnosis #neurology ... sensory #motor #arm #physicalexam
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Workup Algorithm ... • Euvolemic (Low ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... #nephrology #sodium
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Dermatomes and Myotomes ... • Cauda Equina Syndrome ... - Low back pain ... #diagnosis #neurology ... sensory #motor #leg #physicalexam
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
can be high or low ... Cirrhosis, Nephrotic syndrome ... #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
Gitelman Syndrome ... • Gitelman's syndrome ... alkalosis • Normal or low ... Hypocalciuria (spot ... #diagnosis #nephrology
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