12 results
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
NG drainage - Diarrhea ... - Polyuria - Hypomagnesemia ... Diagnosis #Low #Potassium ... #Table #Classification ... #Causes
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... #Differential # ... Low #Magnesium #Table ... Classification #Causes ... #Workup #hypomg
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... Ova and Parasite ... negative and diarrhea ... #Workup #Management ... Transplant #diagnosis #differential
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Side Effects: Hypomagnesemia ... constipation, diarrhea ... constipation, diarrhea ... #pharmacology #table ... #comparison #binders
Causes of Hypomagnesemia
Redistribution:
 - IV glucose
 - Correction of diabetic ketoacidosis
 - IV hyperalimentation
 - Refeeding
Causes of Hypomagnesemia ... biliary fistula - Diarrhea ... osmotic diuresis - Potassium ... #Causes #diagnosis ... #differential #
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... biliary fistula, Diarrhea ... osmotic diuresis, Potassium ... aldosteronism #Hypomagnesemia ... #Causes #differential
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Congenital chloride diarrhea ... Gitelman syndrome, Hypomagnesemia ... the indicated causes ... of sodium and potassium ... Algorithm #nephrology #differential
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... from other causes ... suggests extra-renal causes ... Laxative use • Diarrhea ... diagnosis #Algorithm #differential
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... Alcoholism (worsened by hypomagnesemia ... nasogastric suction, Diarrhea ... #Hypokalemia #Causes ... #differential #
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... Alkalosis: Differential ... Chloride-rich diarrhea ... other • Severe potassium ... #Diagnosis #Causes