Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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differential causes sodium admissions admitting anaphylaxis anesthesia anesthesiology cancer criticalcare evaluation ftt hypernatremia hypotonic icu intraoperative management oncology pearls physiologic
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... CHF • liver failure ... #Diagnosis #Workup ... #Algorithm #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
• Drugs • Pulmonary ... Congestive heart failure ... Uosm < 100 mmol/kg ... #Nephrology #Differential ... #Diagnosis #Algorithm
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... depletion - Heart failure ... hemorrhage) - Pulmonary ... #Table #Causes
Failure to Thrive - Evaluation Checklist • History: Baseline, ADLs/iADLs, Med Rec, ROS, Social support &
Failure to Thrive ... , 25-OH Vit D, ECG ... , CXR, ESR, CRP, ... PT, OT, Social work ... #diagnosis
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
list here, ie hyponatremia ... pre-existing heart failure ... will also get an EKG ... and CXR ... #diagnosis #workup
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... perfusion (Heart failure ... #differential #diagnosis ... #table #sodium ... #nephrology
Hyponatremia Differential Diagnosis Algorithm in Cancer UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Hyponatremia Differential ... Diagnosis Algorithm ... UOsm ≥ 100 mOsm/kg ... RSW) • Heart failure ... #nephrology #oncology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest, start CPR ... as patient is stable ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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