Dialysis disequilibrium syndrome: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*nausea and vomiting, | *nausea and vomiting, hypertension; can progress to seizure, coma, death | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 11:58, 31 July 2016
Background
- Clinical syndrome occurring at end of dialysis
- Occurs most commonly during initial dialysis or during hypercatabolic states
- Large solute clearances -> cerebral edema
Clinical Features
- nausea and vomiting, hypertension; can progress to seizure, coma, death
Differential Diagnosis
Dialysis Complications
- Dialysis-associated hypotension
- Dialysis disequilibrium syndrome
- Air embolism
- Missed dialysis (pulmonary edema)
Workup
- Diagnosis of exclusion (rule out SDH, CVA)
Management
- Treat with mannitol