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Diagnosis and Management of Hypernatremia

#Hypernatremia #Differential #Algorithm #Causes #Nephrology #Diagnosis

** GrepMed Recommended Text: Nephrology Secrets -
Diagnosis and Management ... Differential #Algorithm #Causes ... #Nephrology #Diagnosis ... Recommended Text: Nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
dialysis indication (e.g ... require urgent nephrology ... Nephrotoxic drugs (e.g ... are caused by prerenal ... workup #diagnosis #nephrology
Causes of Post-Partum Hemorrhage - Differential Diagnosis Algorithm
Blood Loss: >500mL post vaginal delivery OR >1000 mL
Causes of Post-Partum ... Uterine fatigue (e.g ... macrosomia) • Bladder distension ... coagulopathy (e.g ... Diagnosis #Algorithm #Causes
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Brady Management ... • Treatment: Pacemaker ... • Treatment: Pacemaker ... summary #Diagnosis #EKG ... electrocardiogram #ecg
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
production to cause ... heartblock w/o pacemaker ... arrythmias Diagnostics: EKG ... Testing #cardiology #management
Pacemaker Placement Indications
Class I:
 • Third degree block
 • Advanced 2nd degree block
 • Symptomatic Mobitz
Pacemaker Placement ... • Reversible causes ... BrighamMedRes #Pacemaker ... PPM #cardiology #management
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
cardiac syncope, e.g ... frequently benign causes ... further guide management ... and an initial ECG ... depends on the cause
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
filling, Obesity/Distention ... hyperinflation, Ischemia, Distention ... Treat underlying cause ... Troubleshooting #diagnosis #management
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... 200ms from longer pause ... - ventricular pacemaker ... bradyarrhythmia #ECG ... #EKG #diagnosis
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Common causes of ... vasoconstriction (e.g ... AIN) • Drugs (e.g ... NephroP #AKI #causes ... Differential #Diagnosis #nephrology