22 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Evaluation of Hyponatremia ... : 1) Identification ... nausea, confusion, seizures ... history #Diagnosis #EM ... #Differential #Algorithm
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
1. ... Hypertonic Saline: seizure ... correction of 0.5-1 ... MH/CCF/CWRU EM ... rate #management #nephrology
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
- Management Seizure ... 5 mins or two seizures ... PEDS Benzo Dose 1 ... management #treatment #algorithm ... peds #pediatrics #neurology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... Workup Step 1 ... mmol/L - true hyponatremia ... Diagnosis #Workup #Algorithm ... #Nephrology
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... Differential Diagnosis Algorithm ... Hyperglycemia, Hyponatremia ... Eclampsia, Prophyria #Seizures ... #Causes #neurology
Causes of Secondary / Provoked Seizures - Differential Diagnosis Algorithm
Febrile
Infection
 • Sepsis
 • Encephalitis
 • Meningitis
Metabolic
Secondary / Provoked Seizures ... Differential Diagnosis Algorithm ... Hypocalcemia • Hyponatremia ... #Neurology #Differential ... #Diagnosis #Algorithm
Hyponatremia with Severe Symptoms - Management Algorithm with Hypertonic Saline
The goal of acute management is to
Hyponatremia with ... Symptoms - Management Algorithm ... Na causing the seizure ... kidney_boy #Hyponatremia ... Hypertonic #Saline #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... water retention 1) ... Rachel Stern MD #Hyponatremia ... #nephrology #sodium
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Workup Step #1 ... #Management #Algorithm ... #Sodium #nephrology
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
- MH/CCF/CWRU EM ... epilepticus #Management #Seizure ... #Algorithm #CriticalCare ... #Neurology