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hyponatremia neurology physicalexam adies clinical differential horners hypotonic physiologic pupil
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
dark; • Slow redilation ... Holmes-Adie Syndrome ... females Differential Diagnosis ... • Physiologic Anisocoria ... #ophthalmology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Cirrhosis, Nephrotic syndrome ... > 30): SIADH, Medications ... #diagnosis #sodium ... #nephrology
Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... #clinical #video ... #ophthalmology ... #physicalexam #neurology ... #Anisocoria
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 Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Cirrhosis, Nephrotic syndrome ... #differential #diagnosis ... #table #sodium ... #nephrology
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