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diagnosis hyponatremia aids dementia differential disorder hand hepatology hepatorenal hiv hrs hypotonic neurocognitive neurology physiologic saltwasting siadh table
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Cerebral Salt Wasting ... Neurological event 2) Sodium ... Hypovolaemia → ADH ... #diagnosis #nephrology ... #hyponatremia #comparison
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Hyponatremia: • ADH ... Cirrhosis, Nephrotic syndrome ... Reset osmostat, Cerebral ... #diagnosis #sodium ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... : SIADH, Renal Sodium ... Insufficiency, Cerebral ... Cirrhosis, Nephrotic syndrome ... #nephrology
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
Pathophysiology: ... sympathetic + ADH ... • Associated with ... • Urine sodium ... #Hepatology #Nephrology
HIV-Associated Neurocognitive Disorder (HAND) Definition: HIV-Associated Neurocognitive disorders categories: • Asymptomatic neurocognitive impairment • Mild neurocognitive impairment • HIV dementia Pathophysiology: HIV frequently
HIV dementia Pathophysiology ... • Decrease in cerebral ... volume • Patchy areas ... The clinical syndrome ... dementia #AIDS #Neurology
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