37 results
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
usually caused by ... 3 questions to work ... Measure urine osmolality ... Treatment: Treatment ... the underlying cause
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... Check Uosm and/or Urine ... considered likely, the cause ... DrEricStrong #Hyponatremia ... #Diagnosis #Workup
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... • Drugs • Pulmonary ... Hypo-osmolar urine ... osmole intake #Hyponatremia ... Diagnosis #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... • Drugs • Pulmonary ... Hypo-osmolar urine ... osmole intake #Hyponatremia ... Diagnosis #Algorithm #Causes
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Evaluation 1) Clinical clues ... FHH — check the urine ... Hypercalcemia #workup ... differential #diagnosis #endocrinology ... elevated #evaluation #workup
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
Hypertonic Saline for Treatment ... of Hyponatremic ... improved headache and nausea ... L. 5) Monitor urine ... Hypertonic #Saline #Treatment
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Treat underlying cause ... : • Causes can ... Saline: • If Urine ... SIADH #Management #hyponatremia ... #nephrology #treatment
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... • Discuss with endocrinology ... SIADH — look for cause ... hourly • Identify Cause ... give specific treatment
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... Anti-GBM antibody • Urine ... : UA, Urine protein ... Goodpasture's cause ... diagnosis #management #treatment
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... record hourly urine ... surgical site, urine ... anaesthesia #Sepsis #Anesthesiology ... Diagnosis #Management #Workup