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diagnosis algorithm causes management acute hyponatremia injury kidney epilepticus gitelman hyperkalemia intercellularshift pathophysiology pulmcrit refractory rhabdomyolysis status syndrome treatment
The rationale for aggressive treatment of generalized status epilepticus was described previously here. In short,
In short, best outcomes ... rely upon rapid seizure ... cause aspiration, hyperkalemia ... #Management #Neurology ... #CriticalCare #
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... ) - Differential ... Pre-Renal: • Hypovolemia ... Med, Contrast, Pigment ... #Diagnosis #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Pain/Post-op • Neurologic ... Malignancy True hypovolemia ... • Reduced GFR, AKI ... /CRF Hormonal changes ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Pain/Post-op • Neurologic ... Malignancy True hypovolemia ... • Reduced GFR, AKI ... /CRF Hormonal changes ... #Hyponatremia #Nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Prerenal: • Due to true volume loss or decreased
Kidney Injury (AKI ... ) - Differential ... blood volume • Hypovolemia ... some abx, heme pigment ... Diagnosis #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... exertion/training - Seizures ... declines > ALT) • AKI ... + myoglobin AKI ... causes #treatment #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Low EABV (e.g., CHF ... renal failure • AKI ... IntercellularShift #Nephrology ... #Differential #
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Inherited (AR) hypokalemic ... Hypocalciuria (spot ... ratio 0.5%) Differential ... tachycardia • Seizures ... Syndrome #diagnosis #nephrology
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