16 results
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Workup for Hyperphosphatemia ... Rule out spurious hyperphosphatemia ... • Endogenous: Rhabdomyolysis ... Disease: • AKI, CKD ... @aishaikh #Hyperphosphatemia
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia ... Redistribution - 1° HPT ... Zalman Agus #Hypophosphatemia
Hyperphosphatemia - Differential Diagnosis Algorithm
Transcellular Shift:
 • Rhabdomyolysis
 • Tumor Lysis
 • Metabolic or Respiratory Acidosis
Hyperphosphatemia ... Transcellular Shift: • Rhabdomyolysis ... Laxatives Pseudo-hyperphosphatemia ... Tumor Lysis #Hyperphosphatemia
Symptoms of Hypophosphatemia
 • CNS: Seizures, Delirium, Paresthesias, Central & extrapontine myelinolysis, Hallucinations, Fatigue
 • Hematologic:
Symptoms of Hypophosphatemia ... myopathy, Ileus, Rhabdomyolysis ... krithicism #Hypophosphatemia
Causes of Hyperphosphatemia - Differential Diagnosis Algorithm
Serum phosphate level >4.5 mg/dL
 • Spurious hyperphosphatemia
 • True
Causes of Hyperphosphatemia ... dL • Spurious hyperphosphatemia ... • True hyperphosphatemia ... Cellular breakdown: Rhabdomyolysis ... Hemolysis #Hyperphosphatemia
Phosphate binders - quick reference chart of maximum daily dose. Most patients with CKD will require
patients with CKD ... since they are not able ... Purposes Only* #CKD ... PhosphateBinders #Hyperphosphatemia
Hypocalcemia - Differential Diagnosis Algorithm - Low and High PTH
LOW PTH - Hypoparathyroid
 - Congenital (Pediatric)
• Severe hyperphosphatemia ... lysis syndrome, rhabdomyolysis
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
D deficiency, CKD ... Extravascular deposition: Hyperphosphatemia
Hypocalcemia - Differential Diagnosis Algorithm
 • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Hyperparathyroidism: CKD ... severe illness, Hyperphosphatemia
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm
Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Hypercalcemia • Hyperphosphatemia ... #CKD #Chronic