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It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
& Dry) is the treatment ... kidneys where excess volume ... acute coronary syndrome ... & Dry” is the treatment ... #differential #algorithm
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
which all carry treatment ... who are severely volume ... for Refeeding Syndrome ... #differential #algorithm ... #management #treatment
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Hyponatremia Treatment ... Algorithm CHF ... indicated Any form of volume ... over-correction (improved volume ... #Algorithm #Management
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Differential Diagnosis Algorithm ... Volume Depleted ... , Gitelman Syndrome ... Volume Expanded ... Differential #Diagnosis #Algorithm
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Differential Diagnosis Algorithm ... Volume Depleted ... , Gitelman Syndrome ... Volume Expanded ... Differential #Diagnosis #Algorithm
Suggested algorithm for treating irritable bowel syndrome-diarrheal type (IBS-D) 

#IBSD #diarrhea #Algorithm #irritable #bowel #syndrome #management
Suggested algorithm ... irritable bowel syndrome-diarrheal ... IBSD #diarrhea #Algorithm ... irritable #bowel #syndrome ... #management #treatment
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Volume Based Approach ... Hypothyroidism, Low solute ... Cirrhosis, Nephrotic syndrome ... SatyaPatelMD #Volume ... #Hyponatremia #algorithm
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... kaliuresis step 1 = volume ... #criticalcare #treatment ... diuresis #nephrology #algorithm
Irritable Bowel Syndrome (IBS) Treatment Algorithm

IBS-Constipation:
 • Constipation: Osmotic laxatives
 • Abdominal pain: Antispasmodics

IBS-Diarrhea:
 • Diarrhea:
Irritable Bowel Syndrome ... (IBS) Treatment ... Algorithm IBS-Constipation ... #IBS #Treatment ... #Management #Algorithm
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... mechanism 2) Volume ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Diagnosis #Workup #Algorithm