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diagnosis algorithm differential causes potassium sodium endocrinology hyperkalemia hypomagnesemia insufficiency intercellularshift magnesium cancer cushings hypercortisolism hypocalcemia hypotonic management neurology oncology
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... suggests either secondary ... Hyperaldosteronism • Secondary ... #causes #nephrology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypotension, hyponatremia ... , hyperkalemia, ... insufficiency • Low ... baseline ACTH - Secondary
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Algorithm UOsm ... EABV) - Consider: Hypovolemia ... Primary polydipsia, Low ... solute intake, Renal ... #causes #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Physiologic Approach ... time you have a case ... normal volume-based algorithm ... Present (Uosm ≥100): Hypovolemia ... table #sodium #nephrology
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
The Diagnostic Approach ... to Hyperkalemia ... Renin - Primary adrenal ... Ketoconazole Low ... #Algorithm #diagnosis
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Malignancy True hypovolemia ... Hypothyroidism • Adrenal ... #Nephrology #Differential ... #Causes
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Beer Potomania - Low ... Hypothyroidism, adrenal ... #causes #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... ON (UNa < 30): Hypovolemia ... Hypothyroidism, Adrenal ... Primary polydipsia, Low ... #sodium #nephrology
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... High Al, High R - Secondary ... Syndrome, Congenital Adrenal ... #nephrology #causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Malignancy True hypovolemia ... Hypothyroidism • Adrenal ... #Nephrology #Differential ... #Causes
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