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Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
- Differential Diagnosis ... Familial: Bartter syndrome ... and Gitelman syndrome ... causes #nephrology #magnesium ... #low
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
= (urine magnesium ... cells FEMg >4% = renal ... if renal function ... #differential #diagnosis ... #low
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
diarrhea / IBD Renal ... - Transient renal ... - Familial renal ... #Differential #Diagnosis ... #Low #Magnesium
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... Normal Acid-Base: Low ... loss (Diarrhea) Renal ... #Differential #Diagnosis
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
by Mechanism Renal ... intake - Magnesium ... - Tumor lysis syndrome ... #Differential #Diagnosis ... #High #Magnesium
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
- Differential Diagnosis ... Magnesium, High ... Magnesium - Functional ... metastases, Hungry bone syndrome ... #Differential #Diagnosis
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... disease - Alport syndrome ... pain hematuria syndrome ... - RBC casts → Diagnostic ... • Nutcracker syndrome
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
- Differential Diagnosis ... Malabsorption RENAL ... • Gitelman's syndrome ... Hypomagnesemia #Magnesium ... #Low #Causes #Differential
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework
Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis
90%:
 -
Pulmonary Renal ... - Differential Diagnosis ... anti-GBM) 10%: - Low ... Levels: Scleroderma Renal ... #Differential #Diagnosis
Types of Renal Calculi

Calcium oxalate
 - Interstitial apatite plaque, Low urine volume, Increased urinary calcium excretion,
apatite plaque, Low ... and intestine, Low ... Struvite - Magnesium ... , High dietary magnesium ... #differential #diagnosis