Optimizing Diagnosis and Management of Hyponatremia in the Hospitalized Patient

Curriculum:
Paul - Hyponatremia
Credits:
2 AMA PRA Category 1 Credits
Launch Date:
30-Jun-11
Expiration Date:
The accreditation for this activity has expired.

Primary Audience:

No Primary Audience Was Provided.

Relevant Terms:

No Primary Audience Was Provided.

Leonard Feldman, MD, FACP, FAAP, SFHM

Course Director/Planner
Leonard Feldman, MD, FACP, FAAP, SFHM
Assistant Professor of Medicine
Johns Hopkins University School of Medicine
Med-Peds Urban Health Residency Program Director
Associate Program Director, Osler Medical Residency
Director, Comprehensive General Medicine Consult Service
Editor, SHM Consultative and Perioperative Medicine Essentials for Hospitalists
Baltimore, Maryland

Leonard Feldman, MD, FACP, FAAP, SFHM, a member of the Active Staff at Johns Hopkins Hospital, is an Assistant Professor in Internal Medicine and Pediatrics and a hospitalist in the Division of General Internal Medicine at Johns Hopkins University School of Medicine. He serves as the Program Director for the Johns Hopkins Med-Peds Urban Health Residency, as an Associate Program Director for the Osler Internal Medicine Residency, and as the Director of the General Medicine Comprehensive Consultation Service.

Dr. Feldman graduated with a BA in Political Science from Brown University and then received his medical degree from the University of Maryland School of Medicine. Dr. Feldman completed his internship and residency in Internal Medicine and Pediatrics at the University of North (UNC). He then served as chief resident in internal medicine at UNC.

As a hospitalist and a clinical skills specialist, Dr. Feldman has focused his research on consult medicine, safe transitions, on-line education, and systematic reviews. Other interests include patient education, urban medicine, evidence-based medicine, and quality improvement. He is the editor-in-chief for the Johns Hopkins Consultative Medicine Essentials for Hospitalists and an Associate Editor for the Journal of Hospital Medicine.
 
Dr. Feldman has participated as a co-investigator in 2 Evidence-Based Practice Center Agency for Healthcare Research and Quality reports: Systematic Review: Comparative Effectiveness and Safety of Oral Medications for Type 2 Diabetes Mellitus and Systematic Review: Comparative Effectiveness and Safety of Premixed Insulin Analogues in Type 2 Diabetes. Both reports resulted in publication in the Annals of Internal Medicine. He is also the co-principal investigator for the Maryland sickle cell disease treatment demonstration project.

Board-certified in internal medicine and pediatrics, Dr. Feldman is a member of the Med-Peds Program Director's Association, the Association of Program Directors of Internal Medicine, the Society for General Internal Medicine, the American Academy of Pediatrics (AAP), the American College of Physicians (ACP), and the Society of Hospital Medicine (SHM).
 
Dr. Feldman is a fellow of the AAP and the ACP and a senior fellow of SHM. 
 
Feel free to contact Dr. Feldman at LF@jhmi.edu.

Robert M. Centor, MD, FACP

Participating Faculty
Robert M. Centor, MD, FACP
Associate Dean
Professor, General Internal Medicine
University of Alabama
Huntsville Regional Medical Campus
Birmingham, Alabama

Robert M. Centor, MD, FACP, is a Professor in the Department of Medicine and Associate Dean for the Huntsville Regional Campus of the University of Alabama at Birmingham. Dr. Centor's research focuses on pharyngitis, clinical decision making, and clinical teaching. He has served as President for the Society for Medical Decision Making, the Association of Chiefs of General Internal Medicine, and the Society of General Internal Medicine. He currently serves on the American College of Physicians Board of Regents. He has authored a book chapter on hyponatremia and teaches often on both acid-base disorders and sodium disorders.

Derek M. Fine, MD

Derek M. Fine, MD (Planner)
Associate Professor of Medicine
Division of Nephrology
Johns Hopkins University School of Medicine
Baltimore, Maryland

Derek M. Fine, MD, is Associate Professor of Medicine and Nephrology Fellowship Program Director at the Johns Hopkins University School of Medicine. He received his bachelor of science at the University of Miami and his MD at Johns Hopkins University School of Medicine. He completed an Internal Medicine residency and a Nephrology fellowship at The Johns Hopkins University/Johns Hopkins Hospital. His clinical interests include systemic lupus erythematosus (SLE)-, HIV-, and scleroderma-related kidney disease; glomerular diseases; rhabdomyolysis; and toxins and kidney disease. Dr. Fine's research has predominantly focused on optimizing the diagnosis and management glomerular kidney diseases, particularly HIV- and SLE-related kidney disease.

Michael L. Moritz, MD

Michael L. Moritz, MD
Clinical Director of Pediatric Nephrology
Medical Director, Pediatric Dialysis
Associate Professor of Pediatrics
University of Pittsburgh School of Medicine
Division of Pediatric Nephrology
Pittsburgh, Pennsylvania

Michael L. Moritz, MD, completed his fellowship in pediatric nephrology at Texas Children's Hospital in 1997. While there, he began collaboration with Carlos Ayus, MD, on the epidemiology, prevention, and treatment of disorders of sodium and water metabolism in children. From there he moved on to the Albert Einstein College of Medicine where he was director of the pediatric dialysis unit. He joined the Children's Hospital of Pittsburgh of UPMC faculty in 1999. Dr Moritz has been recognized for his outstanding clinical work, teaching, and research. He was recognized as an outstanding clinical faculty by the Department Chairmen in 2003. He received the ACES award in 2006. He has won teaching awards at the University of Chicago and Children's Hospital of Pittsburgh.

Dr. Moritz's primary research interests are in sodium and water metabolism in children. He has done seminal work in the field, pointing out the dangers of using hypotonic fluids in hospitalized children as it has resulted in numerous cases of iatrogenic death or permanent neurological injury. Dr. Moritz and Dr. Ayus were the first to recommend the use of 0.9% sodium chloride in maintenance fluids in hospitalized children as prophylaxis against developing hospital acquired hyponatremia. He has been the primary advocate in this field writing many review articles, editorials, and letters to the editor in order to increase awareness of this serious problem. Dr. Moritz also has expertise in the epidemiology and treatment of hypernatremia in children.

Dr. Moritz is active in teaching of medical students, residents and fellows. He is an Associate Professor of Pediatrics at the University of Pittsburgh School of Medicine and the Clinic Director of Pediatric Nephrology and Medical Director of Pediatric Dialysis at the Children's Hospital of Pittsburgh of UPMC.

Samuel H. Sigal, MD

Samuel H. Sigal, MD
Division of Gastroenterology
Department of Medicine
New York University School of Medicine
New York, New York

Samuel H.Sigal, MD, is an Associate Clinical Professor of Medicine, Clinical Direct of Hepatology, and Co-Director of Tansplant Hepatology  at New York University School of Medicine.

Dr. Sigal graduated from Indiana University with Honors in 1979 and obtained his MD degree at the University of Chicago Pritzker School of Medicine. He completed residencies in Pathology at the University of Pennsylvania and Internal Medicine at St. Luke's Hospital in New York and fellowships in Gastroenterology at the Albert Einstein College of Medicine and Liver Diseases at Mount Sinai Medical Center. He was a member of the Recanati/Miller Transplantation at the Mount Sinai Medical Center from 1998 until 2004 and Center for Liver Disease and Transplantation of the NewYork-Presbyterian Medical Center until 2010.

Dr. Sigal is board-certified in Internal Medicine and in Gastroenterology and United Network for Organ Sharing certified in Transplant Hepatology. His clinical interests include treatment of patients with cirrhosis from chronic hepatitis C, alcoholic liver disease, and complications of cirrhosis.

Richard H. Sterns, MD

Richard H. Sterns, MD
Professor of Medicine
University of Rochester School of Medicine and Dentistry
Chief of Medicine
Rochester General Hospital
Rochester, New York

Richard H. Sterns, MD, is Professor of Medicine at the University of Rochester School of Medicine and Dentistry and Chief, Department of Medicine, at Rochester General Hospital, both in New York. Dr. Sterns received his medical degree from the University of Pennsylvania School of Medicine in Philadelphia, and completed the first 2 years of his internal medicine residency at San Francisco General Hospital and the University of California, San Francisco Medical Center, respectively. He completed the third year of his residency and served a year as Chief Resident in internal medicine at Albert Einstein College of Medicine of Yeshiva University in New York, and went on to finish a nephrology fellowship at the University of Pennsylvania School of Medicine.
 
Dr. Sterns is a member of several national and international professional organizations including the American Society of Nephrology, the International Society of Nephrology, and the American Heart Association. He is a manuscript reviewer for the JASN, American Journal of Kidney Disease, Clinical Nephrology, and Kidney International, among others, and has authored several articles and book chapters related to hyponatremia. His research interests are focused on the effect of osmotic disturbances on the brain and the pathogenesis of osmotic demyelination syndrome. Dr. Sterns has lectured at both national and international meetings and has participated in major professional meetings around the United States.
1. Assess the safety and efficacy of current and emerging therapies for the management of hyponatremia. (MK, PC)*
2. Describe the physiologic and pharmacologic mechanisms that lead to the development of hyponatremia. (MK)*
3. Identify appropriate management approaches for patients experiencing hyponatremia in the hospital setting. (MK, PC, PB)*