14 results
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Cerebral Salt Wasting ... Neurological event 2) Sodium ... → Subclinical volume ... Increased urine volume ... #hyponatremia #comparison
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Volume Based Approach ... Renal losses, Cerebral ... salt wasting Euvolemic ... #Hyponatremia #algorithm ... #diagnosis #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine ... : SIADH, Renal Sodium ... Insufficiency, Cerebral ... Salt Wasting • ... differential #diagnosis #table
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Effective Circulating Volume ... ”) - Volume depletion ... osmostat - Cerebral ... Differential #Diagnosis #Table ... #Causes #Sodium
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
and Symptoms by Classification ... (Intravascular volume ... Differential #Diagnosis #Classification ... #Table #CriticalCare ... Symptoms #Findings #Comparison
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Reset osmostat, Cerebral ... salt wasting • ... polydipsia, Low solute ... #diagnosis #sodium
A lazy man's classification of hyponatremia
There are two possible approaches to the diagnosis of hyponatremia: .
A lazy man's classification ... osmolality and urinary sodium ... patient has SIADH or cerebral ... salt wasting. ... #Hyponatremia #Algorithm
Orthopedic Essentials - Spinal Trauma and Spine Classification 
DENIS THREE COLUMN CONCEPT
Anterior column:
Trauma and Spine Classification ... capsule DENIS CLASSIFICATION ... process fracture Stable ... deficit, still able ... Trauma #Spine #Classification
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
body water in comparison ... the total body sodium ... osmolality, urine sodium ... consequence of cerebral ... Measured urine sodium
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... intravascular volume ... Nonhemorrhagic → volume ... due to loss of sodium ... warm #wet #dry #table