34 results
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 ... 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 ... Urea powder • Induces ... into ammonium by urease-producing ... #hyponatremia #nephrology ... #treatment
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
ADH promotes Urea ... Low Uric Acid → SIADH ... Diagnosis #Algorithm #nephrology
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
CNS Ring-Enhancing Lesions - Differential Diagnosis
 • Infections: Cerebral abscess (bacterial, fungal, parasitic), Neurocysticercosis, Tuberculoma, Cerebral
Metastases (lung, breast ... Differential #Diagnosis #neurology ... #radiology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
or induced by treatment ... The video highlights ... Syndrome #clinical #video ... #physicalexam #neurology
Retinal Vasculitis in Takayasu’s Arteritis- ...Ophthalmologic examination revealed severe impairment, with perception of only light in
Panel A, and see Video ... and initiated treatment ... Panel B, and see Video ... See source for videos ... NEJM #clinical #radiology
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
Treatment: anticholinergics ... PhysicalExam #clinical #neurology ... #posture #video
Pruritus Treatment Algorithm for Hemodialysis Patients 

Non-PharmacoIogicaI Measures 
 • Use gentle soap e.g. Dove
Pruritus Treatment ... except if other areas ... #Pruritus #Treatment ... Uremia #Management #Nephrology