13 results
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Diagnosis Framework ... t-PA, heparin Acute ... Shift: • Lactic acidosis ... CKD Increased Renal ... #Diagnosis #Framework
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
3) Now, look at ... , chronic, or acute ... Differential Diagnosis ... Disorders #Evaluation #workup ... Diagnosis #acidosis
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Diagnosis Framework ... FEPO4 ≥ 5% - Renal ... Denosumab, Estrogen based ... #Diagnosis #Framework ... #nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
(NAGMA) - Differential ... Diagnosis Framework ... and Workup NAGMA ... #Diagnosis #Workup ... #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... Extra-renal Losses ... • Normal Acid-Base ... Metabolic acidosis ... #nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Acute or chronic ... Compensation, Acute ... Diagnosis: Causes ... bloodgas #Acid #Base
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Diagnosis Algorithm ... Appropriately Low ... Refeeding Syndrome, Acute ... inhibitor, Estrogen based ... #workup
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Hypochloremia - Differential ... Diagnosis Algorithm ... Decreased Intake: • Low ... - Diarrhea • RENAL ... cause metabolic acidosis
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
Thiamine Deficiency - Differential ... Diagnosis Framework ... rice, Cereals • Low ... seen • Lactic acidosis ... #Diagnosis #syndromes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... reabsorption) Workup ... test (only if no clear ... ) • Low K diet ... #potassium #nephrology