29 results
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
Ventricular Pressure vs Volume ... ” EI > 1 - POCUS ... echocardiogram #psax ... diagnosis #cardiology #pocus
Pathophysiology Based Approach to Hyponatremia - Diagnostic Algorithm

Not the "classic" Volume based approach. 

#Hyponatremia #Algorithm #Pathophysiology
Hyponatremia - Diagnostic Algorithm ... the "classic" Volume ... #Hyponatremia #Algorithm ... #Differential #Nephrology
Stroke Volume & Cardiac Output Measurement on POCUS
Accurately measure LVOT diameter:
1. Obtain PLAX 
2. Zoom to
Stroke Volume & ... Measurement on POCUS ... Obtain PLAX 2. ... Wilkinsonjonny #Stroke #Volume ... #Measurement #POCUS
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypotonic HypoNatremia Algorithm ... mosm/kg) Assess Volume ... #Hyponatremia #Algorithm ... #Diagnosis #Nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... in addition) of volume ... #Differential #Algorithm ... #Diagnosis #Nephrology
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
kaliuresis step 1 = volume ... diuretics #diuresis #nephrology ... #algorithm
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Volume Based Approach ... Hypothyroidism, Low solute ... SatyaPatelMD #Volume ... #Hyponatremia #algorithm ... #sodium #low #nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Assess volume status ... • extra-renal volume ... fevers • renal volume ... Diagnosis #Workup #Algorithm ... #Nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Differential Diagnosis Algorithm ... Volume Depleted ... Gitelman Syndrome Volume ... Differential #Diagnosis #Algorithm ... #Nephrology #Causes
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
than the normal volume-based ... algorithm Urine ... poor response to volume ... little relative solute ... table #sodium #nephrology