14 results
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... cause aspiration, hyperkalemia ... , rhabdomyolysis ... #Management #Neurology ... #Algorithm #PulmCrit
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Heat stroke - Metabolic ... exertion/training - Seizures ... Toxins - Drugs - Statins ... Weakness - Dark urine ... #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
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
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
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Tumor lysis syndrome ... - Rhabdomyolysis ... - Hyperosmolar states ... infusions) - Metabolic ... potassium #high #nephrology
Rhabdomyolysis - Differential Diagnosis Framework
Rhabdomyolysis = Destruction of skeletal muscle with leakage of contents into circulation.
Strenuous exercise, Seizures ... Neuroleptic malignant syndrome ... Electrolytes: Hypokalemia ... Lipid-lowering drugs (statins ... Diagnosis #Causes #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Hypocalciuria (spot urine ... tachycardia • Seizures ... • Rhabdomyolysis ... Treatment - ... #diagnosis #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Tumor lysis syndrome ... - Rhabdomyolysis ... - Hyperosmolar states ... infusions) - Metabolic ... potassium #high #nephrology
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