10 results
Hypernatremia - Diagnostic Evaluation Algorithm
Step 1: Consider history. Most patients presenting with hypernatremia are either very
Evaluation Algorithm ... Step 1: Consider ... Step 2: Check Uosm ... #Workup #Evaluation ... #Algorithm #Sodium
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential Diagnosis ... Insipidus Workup ... Step #1 - Consider ... history Step #2 ... #Sodium #nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
) 1) IS THIS AN ... evaluation? ... 2) HISTORY/PHYSICAL ... KidneyInjury #simplified #workup ... #diagnosis #nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
1 . ... Repeat the sodium ... Step 2. ... #Workup #Algorithm ... #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Workup Algorithm ... 1) Check Urine ... renal mechanism 2) ... #Workup #Algorithm ... #nephrology #sodium
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
A) Initial Evaluation ... angiography • +/- Vit B12 ... - Defined if 1) ... non-lacunar CVA 2) ... #diagnosis #checklist
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
3 questions to work ... 1) Is it hypotonic ... 2) Is ADH elevated ... administered (through a peripheral ... #sodium
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... endocrine: Vitamin B12 ... leukodystrophies 2. ... Lesions Of The Peripheral ... dystrophies Work
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
(formerly Type 1) ... of IV albumin (1 ... • Urine sodium ... liver transplant evaluation ... Syndrome #Hepatology #Nephrology
Evaluation of Recurrent Falls

Core Concept:
Maintaining an upright posture requires the integrated function of multiple systems.
Disruption in
contribute to falls. 1. ... hypotension 2. ... Examples: - Peripheral ... e.g., diabetic, B12 ... Recurrent #Falls #Diagnosis