10 results
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
) - Consider: Hypovolemia ... Inappropriate - Consider: SIADH ... hyponatremia #diagnosis #differential ... #algorithm #causes ... #nephrology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
In short, best outcomes ... epilepticus may cause ... aspiration, hyperkalemia ... #Management #Neurology ... #CriticalCare #
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... , Renal Sodium loss ... Present (Uosm ≥100): Hypovolemia ... #Hyponatremia #differential ... #nephrology
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
osmolality helps to differentiate ... asymptomatic to seizures ... hyponatremia #ADH #RAAS #Hypovolemia ... #EBV #potomania ... #SIADH #Thiazides
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Hyponatremia: • Hypovolemia ... • Euvolemia: SIADH ... Algorithm #diagnosis #causes ... #nephrology #sodium
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia is usually caused ... volume status (EABV ... of symptomatic (seizures ... Treatment #management #nephrology ... #sodium
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
thiazide-sensitive sodium ... Hypocalciuria (spot ... ratio 0.5%) Differential ... tachycardia • Seizures ... Syndrome #diagnosis #nephrology
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Hypotension & Hypovolemia ... Hypothermia & Shivering, Seizures ... toxic alcohols, Sodium ... #Diagnosis #criticalcare
Rhabdomyolysis - Differential Diagnosis Framework
Rhabdomyolysis = Destruction of skeletal muscle with leakage of contents into circulation.
Strenuous exercise, Seizures ... Coxsackie virus, EBV ... Electrolytes: Hypokalemia ... #Diagnosis #Causes ... #nephrology #table
Hyponatremia Differential Diagnosis Algorithm in Cancer
UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Hyponatremia Differential ... appropriate • Hypovolemia ... inappropriate • SIAD ... chemotherapy, nausea ... Cancer #algorithm #nephrology