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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diagnosis nephrology algorithm management hypernatremia treatment insipidus protocol signs workup 2 alkalosis anesthesia anesthesiology arteritis cancer causes cerebral channelblockers checklist
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... water retention 1) ... Osmolarity 3) Urine ... Sodium 4) Serum ... #Differential #
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... sodium and serum ... - Urine sodium ... #Differential # ... Algorithm #Diagnosis #Nephrology
Hyponatremia Diagnostic Algorithm 1) Check serum osmolality 2) Check urine osmolality 3) ADH Dependent - Check volume status, urine
Algorithm 1) Check ... osmolality 3) ADH ... sodium, uric acid ... Diagnosis #Algorithm #differential ... nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Pathophysiology 1) ... Neurological event 2) Sodium ... from tubules 3) ... → Increased urine ... #hyponatremia #
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup Step #1 - Consider the history Step #2 - Assess
Hypernatremia Differential ... Workup Step #1 ... Uglucose Step #3 ... Management #Algorithm #Sodium ... #nephrology #insipidus
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy 1) 100 ml bolus of 3% NaCl over 10 min.
for Treatment of Hyponatremic ... Encephalopathy 1) ... L in the first 1- ... L. 5) Monitor urine ... output for signs
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... Workup Step 1 ... Repeat the sodium ... administration Step 3. ... Workup #Algorithm #Nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
approach to the differential ... 1) Is it hypotonic ... Measure urine osmolality ... #Differential # ... #sodium
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
DI; high dilute urine ... output is a clue). 1) ... post-obstructive 3) ... ([Na] / 140) - 1) ... #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... +K / serum Na >1 ... : SIADH, Renal Sodium ... #differential # ... #nephrology
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