We'll post answers in 2 days when the polls end!!!
@PittIMChiefs @PittIMPD @PittIMPOCUS @OHSUIMRes @thecurbsiders @OHSUIMRes @UTSWIMchief @JMAllenbaugh @TempleIM @kidney_boy @NephroMD @IMCreighton @BostonChiefs @BrighamChiefs @BMCimRES @mgsimonson1 @MFleshner301 @akohlimd
-
Show this thread
-
4/x
#PhysioQuizzo Great work everyone! Here are the solutions. 1) Patient #1: You want the HISTORY. UOsm < SOsm, so this patient has an ADH *independent* cause of hyponatremia (ADH is low, urine is relatively dilute)! But what does that mean?1 reply 0 retweets 0 likesShow this thread -
5/x Patient 1 solution With dilute urine / low ADH, your Ddx is narrowed down to - poor solute intake (beer potomania, tea and toast diet) -excessive water intake (1* polydipsia) A good patient history will help you decide which of these three is the culprit!
2 replies 0 retweets 2 likesShow this thread -
6/x Patient #1 solution. A note about "Volume Status" and hyponatremia. --> It is unreliable and therefore unhelpful. See this study: https://www.ncbi.nlm.nih.gov/pubmed/3674097 Physicians inconsistently distinguish hypovolemia from euvolemia by exam alone (correct ~47-48%). That's a coin flip!
1 reply 1 retweet 6 likesShow this thread -
7/x
#PhysioQuizzo Speaking of Volume Status and hypovolemia, nephrologist extraordinaire@NephroMD taught us a different schema for thinking about hyponatremia. We'll post our version here (what we remember) , and ask for corrections from@NephroMD and the rest of@askrenalpic.twitter.com/uzZ7rUjsMd
4 replies 3 retweets 24 likesShow this thread -
Agree with the pathophysiologic approach of
#hyponatremia. Not the "classic" Volume based approach. This is our hyponatremia schema approach.@Saltwebsite@grepmeded http://www.medigraphic.com/pdfs/revmed/md-2014/md142i.pdf …pic.twitter.com/U0DKvRGaBv
2 replies 3 retweets 13 likes -
Replying to @aldorodrigo @MedEdPGH and
Thanks! We made this searchable: "hyponatremia uosm algorithm" ->https://www.grepmed.com/images/4938
2 replies 1 retweet 5 likes -
Replying to @grepmeded @aldorodrigo and
I didnt know that was a thing... let’s collaborate more!
1 reply 0 retweets 2 likes -
Replying to @NephroGuy @aldorodrigo and
GrepMed Retweeted Alex Meraz
would LOVE to collaborate- do you have more stuff like this to share?https://twitter.com/NephroGuy/status/1114310294069755904 …
GrepMed added,
2 replies 0 retweets 2 likes -
Replying to @grepmeded @NephroGuy and
Love what you guys are doing. I’ll be sure to send any good info graphics your way
1 reply 3 retweets 5 likes
that would be awesome, thank you!!
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.