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Algorithm for Management of SIADH with Fluid Restriction and Urea

by Helbert Rondon, MD @NephroMD

#SIADH #Management #algorithm
Management of SIADH ... Restriction and Urea ... @NephroMD #SIADH ... Management #algorithm #treatment ... #urea #nephrology
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... maintain long-term ... volume overload Urea ... SatyaPatelMD #SIADH ... hyponatremia #nephrology #treatment
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... this as a long-term ... Urea powder • Induces ... into ammonium by urease-producing ... hyponatremia #nephrology #treatment
Crusted Scabies - Physical examination now revealed a generalized erythematous and scaly rash with intense hyperkeratotic
erythematous and scaly rash ... , interdigital areas ... , and genital areas ... C) #Clinical #Derm
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
with or without treatment ... , but without treatment ... cavity and genital areas ... , anal or oral areas ... Diagnosis #Clinical #Photo
Lymphangitis on the Abdomen - Examination revealed a warm, indurated plaque with extension toward her left
toward her left breast ... #Clinical #Derm ... InfectiousDisease #Rash
Scabies (Sarcoptes scabiei) - CDC 2021 Treatment Guidelines
Recommended Regimen:
 • permethrin 5% cream applied to all
scabiei) - CDC 2021 Treatment ... applied to all areas ... from neck down), wash ... applied to all areas ... from neck down), wash
Maculopapular Rashes - THE ALGORITHMIC APPROACH 

The term maculopapule is a portmanteau, a combination
of macule and
APPROACH The term ... distribution of the rash ... living in endemic areas ... and whether the rash ... Maculopapular #Rash
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
FE Urate post correction ... Normalizes in SIADH ... • IF SIADH — ... give specific treatment ... Management #algorithm #treatment
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
ED Treatment of ... thromboembolic disease, breast ... endometrial path0100' or breast ... follow-up for long-term