18 results
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Uric Acid - Low ... Uric Acid → SIADH ... Differential #Diagnosis #Algorithm ... nephrology #sodium #low
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... Inappropriate - Consider: SIADH ... Primary polydipsia, Low ... #differential #algorithm
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... Beer Potomania - Low ... insufficiency, SIADH ... Differential #Diagnosis #Algorithm
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... OFF (UNa > 30): SIADH ... Primary polydipsia, Low ... #Hyponatremia #Algorithm
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
uric acid <4 • SIADH ... Hypothyroidism, Low ... #Hyponatremia #algorithm ... diagnosis #sodium #low
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... restriction alone in SIADH ... Present (Uosm ≥100): SIADH ... can be high or low ... Primary polydipsia), Low
Streptococcus Bacteremia - Indications for Echocardiogram
1) Identify the streptococci:
  - Low-risk streptococci: S. intermedius, S.
streptococci: - Low-risk ... . sanguinis 2) How ... TTE #diagnosis #cardiology ... #algorithm
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Differential Diagnosis Algorithm ... tardus (delayed/slow ... Abnormalities #Disorders #Cardiology ... Differential #Diagnosis #Algorithm
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Differential Diagnosis Algorithm ... Benign / Flow ... Systolic #Murmurs #Cardiology ... Differential #Diagnosis #Algorithm
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... provide TIMI III flow ... obtain TIMI III flow ... Cardiogenic #Shock #Algorithm ... Initiative #Management #Cardiology