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diagnosis management differential causes neurology alkalosis chloride criticalcare encephalopathy gitelman hypernatremia hypokalemia hyponatremia pathophysiology posterior pres pulmcrit refractory reversible seizures
The rationale for aggressive treatment of generalized status epilepticus was described previously here. In short,
for aggressive treatment ... epilepticus was ... hyperkalemia, rhabdomyolysis ... #Management #Neurology ... #Seizures #Algorithm
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
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
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
iniury, Compartment syndrome ... , Heat stroke, Metabolic ... Neuroleptic malignant syndrome ... Drugs (Statins), ... hour with goal urine
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Heat stroke - Metabolic ... Toxins - Drugs - Statins ... Weakness - Dark urine ... hour with goal urine ... #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Measure urine osmolality ... Assess volume status ... demyelination syndrome ... #management #nephrology ... #sodium
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... Hypocalciuria (spot urine ... • Seizures • Rhabdomyolysis ... Treatment - ... #diagnosis #nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Altered mental status ... Drug toxicity, Metabolic ... epilepticus ... Treatment: • Address ... underlying cause • Treatment
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