Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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94 results
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... Syndrome of Inappropriate ... โ€ข Nephrotic syndrome ... #Causes
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 โ€ข Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Tea and Toast Syndrome ... failure, nephrotic syndrome ... #causes #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... treat underlying cause ... cirrhosis, nephrotic syndrome ... UnremarkableLab #Hyponatremia
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... โ€ข nephrotic syndrome ... renal failure #Hypernatremia ... Diagnosis #Workup #Algorithm
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 โ€ข Focal: Simple, Complex
 โ€ข Generalized: Absence,
Causes of Seizures ... Differential Diagnosis Algorithm ... vasoconstriction syndrome ... Hyperglycemia, Hyponatremia ... #Causes #neurology
Hyponatremia Diagnosis Algorithm
UOsm โ‰ฅ POsm - Vasopressin-Dependent
 โ€ข UNa < 20 mEq/L - Appropriate (โ†“ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... @NephroMD #hyponatremia ... #differential #algorithm ... #causes #nephrology
Atraumatic Collapsed Athlete - Suggested Algorithm for Collapsed Athlete

In this review, the authors review that the
Athlete - Suggested Algorithm ... the most common causes ... as exertional hyponatremia ... Marfanโ€™s, Long QT syndrome ... , WPW syndrome,
Takotsubo Cardiomyopathy - Right Ventricular Involvement 

In up to 1/4 of cases of stress cardiomyopathy (takotsubo),
In up to 1/4 of cases ... #BrokenHeart #Syndrome ... Echocardiogram #A4C ... #Clinical #POCUS
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Another Takotsubo.

68F actually presented after some very joyous news in contrast to the usual 'broken heart
'broken heart syndrome ... #Clinical #POCUS ... Echocardiogram #A4c ... #BrokenHeart #Syndrome
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Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... Evaluation Algorithm ... considered likely, the cause ... DrEricStrong #Hyponatremia ... Workup #Evaluation #Algorithm