Discover and read the best of Twitter Threads about #NAGMA
Most recents (2)
1/14
⚡️What could cause ⬇️Na & ⬆️K in a neonate 👶?
🔥Let’s talk electrolytes with a paediatric 💫 in my first #Tweetorial @NSMCInternship @MedTweetorials
⚡️The Case⚡️
A 2⃣0⃣ day old male 👶 with lethargy &⬇️feeding
Bloods reveal hyponatremia & hyperkalemia
⚡️What could cause ⬇️Na & ⬆️K in a neonate 👶?
🔥Let’s talk electrolytes with a paediatric 💫 in my first #Tweetorial @NSMCInternship @MedTweetorials
⚡️The Case⚡️
A 2⃣0⃣ day old male 👶 with lethargy &⬇️feeding
Bloods reveal hyponatremia & hyperkalemia
2/14 What other investigations might be useful?
3/14
All of the above would be useful
1️⃣ Glucose is normal
2️⃣ VBG shows Metabolic Acidosis
3️⃣ Urinary 🧂 Sodium⬆️ & 🍌 Potassium⬇️
Remember
⚡️ The Anion Gap = Na+ - (Cl- +HCO3) ( =10 =Normal )
⚡️ Urinary Electrolytes should be measured before fluid resuscitation
All of the above would be useful
1️⃣ Glucose is normal
2️⃣ VBG shows Metabolic Acidosis
3️⃣ Urinary 🧂 Sodium⬆️ & 🍌 Potassium⬇️
Remember
⚡️ The Anion Gap = Na+ - (Cl- +HCO3) ( =10 =Normal )
⚡️ Urinary Electrolytes should be measured before fluid resuscitation
HIV. Sickle cell pain crisis. Metabolic acidosis and hypokalemia. 🥼⚕️Just another night on call. Let's break it down in the inaugural #tweetorial by the #FOAMED #medtwitter @TheSkeletonKG
Full post here! @RenalFellowNtwk renalfellow.org/2019/10/03/the…
Full post here! @RenalFellowNtwk renalfellow.org/2019/10/03/the…
30 yo woman with sickle cell anemia and HIV on lamivudine, tenofovir, alafenamide, and efavirenz presents with a pain crisis. 💉💉Labs are shown.
What should we do next?
