Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... mmol/L - true hyponatremia ... #Diagnosis #Workup ... #Algorithm #Nephrology
Diagnostic Approach to Hyponatremia
Box A:
 β€’ Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose
 β€’ Pseudohyponatremia:
Diagnostic Approach to Hyponatremia ... Normo/hyperosmolar Hyponatremia ... Wilkinsonjonny #Hyponatremia ... #Diagnosis #Algorithm ... #workup
Hypernatremia - Diagnostic Evaluation Algorithm
Step 1: Consider history. Most patients presenting with hypernatremia are either very
Hypernatremia - ... Diagnostic Evaluation Algorithm ... presenting with hypernatremia ... #Diagnosis #Workup ... #Evaluation #Algorithm
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... Evaluation Algorithm ... DrEricStrong #Hyponatremia ... #Diagnosis #Workup ... #Evaluation #Algorithm
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Diabetes Insipidus Workup ... DrEricStrong #Hypernatremia ... #Management #Algorithm
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Ascites Ascites Workup ... Algorithm Ascites ... Refractory Ascites Hyponatremia
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... list here, ie hyponatremia ... failure, esp in work-up ... #ICU #Pearls #Checklist ... #diagnosis #workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
using standard protocols ... thiopental or propofol ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
Phenobarbital monotherapy algorithm ... - SEE UPDATED ALGORITHM ... phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... -If you work at ... #Protocol #PulmCrit
β–Ί
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
major haemorrhage protocol ... Intraoperative #Checklist ... Diagnosis #Management #Workup