10 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... 1) Check Urine ... mechanism 2) Volume Status ... , Cushing syndrome ... #nephrology #sodium
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Repeat the sodium ... Assess volume status ... HYPERVOLEMIC • CHF ... • nephrotic syndrome ... #Nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... , Gitelman syndrome ... Normal acid-base status ... sodium is typically ... #Algorithm #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Measure urine osmolality ... demyelination syndrome ... include vaptans (HF ... #management #nephrology ... #sodium
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 ... differential #diagnosis #table ... #sodium #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Toxins - Drugs - Statins ... Weakness - Dark urine ... hour with goal urine ... per day until stable ... #nephrology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
and low urine output ... acute coronary syndrome ... #differential #algorithm ... #table #foamed ... #heartfailure #chf
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Na delivery): CHF ... lysis) ± Urine ... Elimination (see Table ... Optimize volume status ... #potassium #nephrology
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Liberatory Maneuver for Treatment ... the examination table ... positional #vertigo #neurology ... #instructions # ... clinical #video
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Liberatory Maneuver for Treatment ... the examination table ... positional #vertigo #neurology ... #instructions # ... clinical #video