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diagnosis algorithm nephrology hypokalemia hyperkalemia alkalosis autoimmune cardiology chloride chronic classification complexes intercellularshift metabolic metabolicalkalosis myopathy myositis nongap premature pvc
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Kidney Disease - Differential ... nephropathy • Benign ... • Diabetes • Hypertension ... Hyperphosphatemia #CKD ... #Chronic #KidneyDisease
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm Hypertensive ... : • High Al, Low ... Algorithm #nephrology #causes ... #low #potassium
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm GI Losses - Gastric • Vomiting • NG suction GI
Causes of Metabolic ... Alkalosis - Differential ... Renin, High Aldosterone ... Tumor Low Renin ... Renin, Low Aldosterone
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Syndrome • HTN, High ... Renovascular HTN, Renin ... Diagnosis #Algorithm #causes ... #potassium #low
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... urinary losses: • High ... consumption • Low ... diagnosis #Algorithm #differential ... #low
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... CHF, cirrhosis, hypotension ... Renin, High Aldosterone ... Renin, Low Aldosterone ... Renin, Low Aldosterone
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
syndrome, ARVC) • Hypertension ... : • Hypertension ... classified as: • Low ... percent PVCs/day • High ... to PVCs but are benign
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... Hypomagnesemia • Hypertension ... the indicated causes ... of sodium and potassium ... Algorithm #nephrology #differential
Causes of Hyperkalemia l. Pseudohyperkalemia A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis B.
Causes of Hyperkalemia ... Drug-associated: heparin, low-molecular-weight ... #Hyperkalemia #Differential ... #Diagnosis #High ... #Potassium #Classification
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... or ALS • Very slow ... Camptocormia (bending ... weakness • Very high ... statins - probably caused
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