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diagnosis differential neurology treatment chloride hypokalemia aids alkalosis associated barre criticalcare dementia disorder epilepticus foamed guillain guillainbarre hand hypernatremia hypochloremia
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... mechanism 2) Volume Status ... • Euvolemic (Low ... , Cushing syndrome ... #nephrology #sodium
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Gitelman Syndrome ... thiazide-sensitive sodium ... alkalosis • Normal or low ... #nephrology #management ... #pathophysiology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... be treated with IV ... , Gitelman syndrome ... differential #potassium #nephrology ... #low
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... , Gitelman syndrome ... Normal acid-base status ... #nephrology #differential
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Decreased Intake: • Low ... - Bartter - Gitelman ... altered mental status ... #Pathophysiology ... #Nephrology #Chloride
HIV-Associated Neurocognitive Disorder (HAND) Definition: HIV-Associated Neurocognitive disorders categories: • Asymptomatic neurocognitive impairment • Mild neurocognitive impairment • HIV dementia Pathophysiology: HIV frequently
dementia Pathophysiology ... CNS in the early stages ... ARVs can have low ... The clinical syndrome ... and with low CD4
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
Management of Convulsive ... • Give high flow ... Sodium Loading ... #neurology #pediatrics ... #peds #algorithm
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Assess volume status ... demyelination syndrome ... through a peripheral IV ... Diagnosis #Treatment #management ... #nephrology #sodium
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Guillain-Barre Pathophysiology ... Campylobacter jejuni - HIV ... • Weakness: Starts ... #diagnosis #management ... #treatment #neurology
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
mimic the “Starved state ... for Refeeding Syndrome ... both conditions, low ... #differential #algorithm ... #management #treatment
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