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 ... Assess volume status ... #Diagnosis #Workup ... #Algorithm #Nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Diabetes Insipidus Workup ... #Management #Algorithm ... #Sodium #nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... addition) of volume status ... #Differential # ... Algorithm #Diagnosis ... #Nephrology
Algorithm for the diagnosis of hyponatremia.

If you start with the osmolalities, urinary sodium etc first and
Algorithm for the ... diagnosis of hyponatremia ... leave the fluid status ... #Differential # ... #management
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
3 questions to work ... Assess volume status ... #Differential # ... Diagnosis #Treatment #management ... #nephrology #sodium
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
Algorithm 1) Check ... - Check volume status ... #Diagnosis #Algorithm ... #differential # ... hyponatremia #nephrology
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... for Convulsive Status ... epilepticus: - Propofol ... Epilepticus #Treatment #Algorithm ... #Management #Neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... ADVANCED AIRWAY MANAGEMENT ... β€’ Induction: propofol ... EPILEPTICUS β€’ Propofol ... #neurology #seizures
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Treatment Protocol ... mins) REFRACTORY STATUS ... #algorithm #neurology ... #management
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 β€’ 6-20% of patients with psychiatric disorders - Most commonly
β€’ Symptomatic hyponatremia ... diabetes insipidus Differential ... intoxication Initial Workup ... Polydipsia #diagnosis #management ... #nephrology