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diagnosis differential causes management neurology rhabdomyolysis sodium table epilepticus hypokalemia acidosis alkalosis chloride classification criticalcare diuresis diuretics elevation encephalopathy excretion
The rationale for aggressive treatment of generalized status epilepticus was described previously here. In short,
for aggressive treatment ... rely upon rapid seizure ... cause aspiration, hyperkalemia ... #Management #Neurology ... #Algorithm #PulmCrit
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... tubal acidosis and metabolic ... renal failure Hypervolemia ... #Causes #nephrology
Causes of Seizures - Differential Diagnosis Algorithm Unprovoked - Epilepsy: • Focal: Simple, Complex • Generalized: Absence,
Causes of Seizures ... vasoconstriction syndrome ... Neurocysticercosis, PML • Metabolic ... Hyperglycemia, Hyponatremia ... #Causes #neurology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Heat stroke - Metabolic ... exertion/training - Seizures ... Toxins - Drugs - Statins ... Hyperuricemia • Hyponatremia ... #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Measure urine osmolality ... Assess volume status ... demyelination syndrome ... of symptomatic (seizures ... #management #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... A urine K/Cr ratio ... • Diarrhea A urine ... #diagnosis #Algorithm ... differential #potassium #nephrology
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
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... Normal acid-base status ... #Algorithm #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
, Heat stroke, Metabolic ... exertion/training, Seizures ... Drugs (Statins), ... hour with goal urine ... Dialysis for severe hyperkalemia
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Altered mental status ... Blood transfusion, Hypercalcemia ... Drug toxicity, Metabolic ... epilepticus Treatment ... underlying cause • Treatment
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