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
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential Diagnosis ... Pain/Post-op β€’ Neurologic ... β€’ Drugs β€’ Pulmonary ... #Causes
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Causes, classification ... Shock can be caused ... The cause of shock ... #Diagnosis #CriticalCare ... #Causes #Types
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Examine for a cause ... Obstructive 4) Diagnosis ... and Workup 5) ... Hypotension #Management #criticalcare ... #Shock
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... exacerbation (any cause ... flow) - Massive pulmonary ... #Differential #Diagnosis ... Classification #Table #CriticalCare
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... treat underlying cause ... Pulmonary Diseases ... UnremarkableLab #Hyponatremia ... #nephrology #sodium
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Survey 4) Workup ... Tamponade - Pulmonary ... #Summary #criticalcare ... #treatment #workup
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... class (30-day all cause ... Transient Hypotension, Shock ... prognostication #diagnosis ... stratification #criticalcare
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
in blood flow caused ... Depends on the cause ... Pulmonary embolism ... #Comparison #criticalcare ... #diagnosis #classification
Hematuria Workup and Diagnosis Algorithm
 β€’ Confirm hematuria β†’ Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... if cause not identified ... uw_IMresidency #Hematuria #Diagnosis ... #Algorithm #Workup