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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13 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... history Step #2 ... Hypernatremia #Management ... #Algorithm #Sodium ... #nephrology #insipidus
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Algorithm Instead ... addition) of volume status ... low, uric acid ... and uric acid low ... #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Serum Osmolarity 2) ... #nephrology #sodium ... #low #uricacid
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... - Management Seizure ... #treatment #algorithm ... #peds #pediatrics ... #neurology
Diabetes Insipidus - Diagnosis Algorithm
Tests:
 β€’ Osmolality, Urine AND/OR
 β€’ Osmolality, Serum or Plasma AND
 β€’
Diabetes Insipidus ... - Diagnosis Algorithm ... Plasma AND β€’ Sodium ... Osmolality, Urine 1-2 ... #nephrology #differential
Patients with CHD are exceptionally sensitive to the effects of bronchiolitis on their volume status
Four principles
on their volume status ... Give IV sodium bicarbonate ... saturation is very low ... #Management #Peds ... #Pediatrics #CHD
Management of Pediatric Kidney Stones
Acute Managment:
 β€’ Pain relief: NSAIDs, opioids
 β€’ Facilitating passage of stone:
Management of Pediatric ... Hydration: 1.5-2 ... protein - Low ... sodium diet ... #Pediatrics #nephrology
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
serum osmolality 2) ... - Check volume status ... , urine sodium, ... #differential # ... hyponatremia #nephrology
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 β€’ Check and maintain ABC
Management of Convulsive ... β€’ Give high flow ... IV Thiopental Sodium ... #neurology #pediatrics ... #peds #algorithm
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis β€’ Normal/low ... Normal acid-base status ... the excretion of sodium ... #nephrology #differential