10 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - Differential ... Diagnosis Workup Algorithm ... 1) Check Urine ... • Euvolemic (Low ... #nephrology #sodium
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... , Gitelman syndrome ... #Algorithm #nephrology ... #differential #
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #differential ... #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... Cirrhosis, Nephrotic Syndrome ... Alcohol MH/CCF ... #causes #nephrology ... #sodium #low
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
Diagnosis and Management ... Clinical Manifestations ... Triggers - sudden movement ... • CSF: Oligoclonal ... others (botox, sodium
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Measure urine osmolality ... demyelination syndrome ... include vaptans (HF ... Diagnosis #Treatment #management ... #nephrology #sodium
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
ARVs can have low ... Depressive symptoms • Movement ... syndrome of HAD ... disorder #dementia #AIDS ... #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
brain PRES Clinical ... Reversible course Differential ... Seizures: Treat with AEDs ... #diagnosis #management ... #neurology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
mental status and low ... urine output. ... acute coronary syndrome ... #algorithm #management ... #heartfailure #chf
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
tubule (DCT) Clinical ... alkalosis • Normal or low ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... #diagnosis #nephrology