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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Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... & desmopressin test ... DrEricStrong #Hypernatremia ... #Management #Algorithm ... #Sodium #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... Diagnosis Algorithm Syndrome ... Pain/Post-op • Neurologic ... #Nephrology #Differential
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Tea and Toast Syndrome ... failure, nephrotic syndrome ... #Differential # ... Algorithm #causes #nephrology
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... Overcorrection of Hyponatremia ... Demyelination Syndrome ... Correction #goal #rate #management ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... cirrhosis, nephrotic syndrome ... UnremarkableLab #Hyponatremia ... #Differential # ... Algorithm #diagnosis #nephrology
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
of Seizures - Differential ... vasoconstriction syndrome ... Hyperglycemia, Hyponatremia ... Prophyria #Seizures #Differential ... Algorithm #Causes #neurology
Pronator Drift (Pyramidal Drift) on Physical Exam

Testing showed pronator drift on the left side in this
the 50-second test ... to maintain the position ... PhysicalExam #clinical #video ... #neurology #cva
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Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
approach to the differential ... demyelination syndrome ... #Differential # ... Diagnosis #Treatment #management ... #nephrology #sodium
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Benign paroxysmal positional ... fistula, Cogan's syndrome ... Wallenberg syndrome ... Central #Causes #differential ... #diagnosis #neurology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... case of hypotonic hyponatremia ... Cirrhosis, Nephrotic syndrome ... #differential # ... table #sodium #nephrology