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Algorithm for Management of SIADH with Fluid Restriction and Urea

by Helbert Rondon, MD @NephroMD

#SIADH #Management #algorithm
Restriction and Urea ... Management #algorithm #treatment ... #urea #nephrology
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
with peripheral areas ... presenting as areas ... with peripheral areas ... consolidation #Clinical #Radiology ... #HRCT #CTChest
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
volume overload Urea ... into ammonium by urease-producing ... #hyponatremia #nephrology ... #treatment
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... Urea powder • Induces ... into ammonium by urease-producing ... #hyponatremia #nephrology ... #treatment
Bronchopneumonia Consolidation Pattern on Chest X-Ray

Patchy areas of consolidation that may be initially limited to one
Consolidation Pattern on Chest ... X-Ray Patchy areas ... Consolidation #Pattern #Chest ... CXR #clinical #radiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
of dyspnea and chest ... collapse of RV - Treatment ... Triad #Diagnosis #Cardiology
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
low attenuation areas ... #Clinical #Radiology ... #HRCT #CTChest
CNS Ring-Enhancing Lesions - Differential Diagnosis
 • Infections: Cerebral abscess (bacterial, fungal, parasitic), Neurocysticercosis, Tuberculoma, Cerebral
Metastases (lung, breast ... Differential #Diagnosis #neurology ... #radiology
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
low attenuation areas ... #Clinical #Radiology ... #HRCT #CTChest
On the left a case of chronic eosinophilic pneumonia.
It was a patient with low-grade fever, progressive
and an abnormal chest ... respond promptly to treatment ... #Clinical #Radiology ... #CTChest #Eosinophilic