Hyponatremia, Hypervolemic

Clinic A/P, adults, Hospital A/P, Adults, HOSPITAL MEDICINE, NEPHROLOGY

#Hypervolemic Hyponatremia, moderate, chronic, etiology unknown DDx of hypervolemic hyponatremia: CHF, Cirrhosis, nephrotic syndrome, or advanced renal failure. ABCs – pt stable. No severe symptoms like seizures, obtundation, coma, and respiratory arrest. Pert...

Hyponatremia, Euvolemic

Clinic A/P, adults, Hospital A/P, Adults, HOSPITAL MEDICINE, NEPHROLOGY

#Euvolemic Hyponatremia, moderate and likely chronic, etiology unknown DDx of euvolemic hyponatremia: SIADH, Endocrinopathies, Psychogenic (primary) polydipsia, Low solute (“tea & toast” or “beer protomania”), Reset Osmostat. ABCs –...

Hyponatremia, Hypovolemic

Clinic A/P, adults, Hospital A/P, Adults, HOSPITAL MEDICINE, NEPHROLOGY

#Hypovolemic Hyponatremia, moderate and likely chronic, etiology unknown ABCs – pt stable. No severe symptoms like seizures, obtundation, coma, and respiratory arrest. Pert +/- hx: No hx of CHF, Cirrhosis, nephrotic syndrome, or advanced renal failure. No hx of...

Inpatient Orders: Miscellaneous Order

HOSPITAL MEDICINE

To place a miscellaneous order in an EHR like Cerner PowerChart or another EHR when you cannot pull a specific order to fill out, you should type CPOE. In some systems, its Misc CPOE. CPOE stands for Computerized Physician Order Entry....

Tube Feeds

Hospital A/P, Adults, HOSPITAL MEDICINE

Common Tube Feeding Orders I have Used. The following two orders were for a patient with a stroke with PMH of HTN (no CHF or renal failure) who had a new PEG tube placed. There weren’t meant to run at the same time. When she couldn’t tolerate bolus...

Typical Chest Pain vs. Atypical Chest Pain

CARDIOLOGY, HealthCare, HOSPITAL MEDICINE

Typical (classic) angina chest pain consists of (1) Substernal chest pain or discomfort that is (2) Provoked by exertion or emotional stress and (3) relieved by rest or nitroglycerine (or both). Atypical (probable) angina chest pain applies when 2 out of 3 criteria of...