On a recent reading on Sodium and Water physiology, I realized again and again the following points
1. The best way to identify change in Na balance is to examine the extracellular volume status but there are no good ways to do that clinically( orthostatics, axillary sweat, skin turgor, physical exam??). Perhaps the hemotocrit might be the best marker we have.
2. There are no NORMAL values in electrolyte diseases, there are only what is EXPECTED of the kidney to do or the organ to do for the stimuli.
3. Classic one: " The acute discovery of a chronic condition does not make it an acute disorder"- By ML Halperin
4. Hypernatremia and "no thirst" leads to not a pleasant diagnosis to make requiring a MRI of the brain.
- ► 2017 (52)
- ► 2016 (45)
- ► 2015 (63)
- ► 2014 (95)
- ► 2013 (133)
- ► 2012 (201)
- TOPIC DISCUSSION: The return of "Spironolactone"
- Match the drugs with the toxicity game!
- CLINICAL CASE and ANSWERS 38
- TOPIC DISCUSSION: Clinical Pearls for electrolytes...
- TOPIC DISCUSSION: Origins of the 1.73m2 in the GFR...
- Prolia or Xgeva, Denosumab and The Renal world!
- Alemtuzumab for Induction- the 2011 update
- TOPIC DISCUSSION: Hibernating Bear's urine?
- CONSULT ROUNDS: Ethylene Glycol Toxicity
- Asian Dialysis Modality Survey by Pediatric Nephro...
- Check out this website
- Tumor Lysis Syndrome
- Medicine for residents: Elevated pulse pressure an...
- TOPIC DISCUSSION: Micro Rnas and Chronic Kidney Di...
- Nephrology Crosswords- Pediatric Nephrology
- NKF 2011 Recap- Rhabdomyolysis as the theme
- Donor Risk Scores?
- CLINICAL CASE 37, ANSWERS AND SUMMARY
- "Brain Drain" in nephrology
- TOPIC DISCUSSION: The Distal Hypoperfusion Ischemi...
- Nephrology Fellow Career Choice Satisfaction Surve...
- Dual Live Transplants performed
- Interesting Urine Lytes
- NKF 2011 Live: First Clinical Guidelines on Acute ...
- CLINICAL CASE 36, ANSWERS AND SUMMARY
- IN THE NEWS- Hyponatremia and Mortality( its the u...
- ▼ May (26)
- ► 2010 (461)