17 results
Rate of Correction of Hypernatremia and Health Outcomes in Critically Ill Patients

CJASN May 2019, 14 (5)
Rate of Correction ... and Health Outcomes ... consciousness, and ... #Nephrology #Management ... #EBM #VisualAbstract
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
complications occur late ... consult: No, if <1 ... MH/CCF/CWRU EM ... #Hand #Orthopedics ... #MSK
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
1. ... correction of 0.5-1 ... MH/CCF/CWRU EM ... Correction #goal #rate ... #management #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... 1) Is it hypotonic ... correction (max rate ... Diagnosis #Treatment #management ... #nephrology #sodium
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
output is a clue). 1) ... ([Na] / 140) - 1) ... • The maximum rate ... Diagnosis #Treatment #management ... #nephrology #sodium
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Pathophysiology ... Weakness: mild difficulty ... Paresthesias: Hands ... /constipation, hyponatremia ... Syndrome #diagnosis #management
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... restriction: • Restrict 1 ... day • Can be difficult ... #hyponatremia # ... nephrology #treatment
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
non-localized EOM ... always ask your ... patients about difficulty ... Bennett & Bloom ... ophthalmology #neurology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Management Summary ... • Hypocalcemia/Late ... Hyperuricemia • Hyponatremia ... • HAGMA • Late ... causes #treatment #nephrology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
EOM testing displayed ... diagnosed with MS ... Three weeks later ... Bennett & Bloom ... ophthalmology #neurology