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diagnosis algorithm differential hypophosphatemia management nephrology nutrition transplant acidbase acidosis b12 bloodgas cobalamin copper framework interpretation metabolic phosphate phosphorus respiratory
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
asthma, ↓ Drive, Medications ... production Respiratory alkalosis ... Vomiting D - Diarrhea ... - Contraction alkalosis ... nickmmark #acidbase #workup
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 ... testing negative and diarrhea ... Adjust IS medications ... #Workup #Management
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Malabsorption, Chronic diarrhea ... Niacin, Vitamin D deficiency ... Glucose, Acute resp. alkalosis ... Diagnosis #Framework #Workup
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Absorption: Chronic Diarrhea ... Binders, Vitamin D Deficiency ... Acute Respiratory Alkalosis ... Vitamin D: Vit D Deficiency ... nephrology #phosphorus #workup
Solid Organ Transplant - Diarrhea - Diagnostic and Workup Algorithm 1st Tier Microbiologic Testing: CDiff (stool), CMV
Organ Transplant - Diarrhea ... Diagnostic and Workup ... viral PCR (stool), Ova ... 1) Adjust IS medications ... malabsorption #Diarrhea
Risk Factors and Signs of Copper Deficiency Risk Factors: • Gastrointestinal: Previous upper bowel resection/bariatric surgery, Inflammatory
Signs of Copper Deficiency ... disease, Chronic diarrhoea ... Cystic fibrosis • Medications ... dental fixatives, Treatment ... drkeithsiau #Copper #Deficiency
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... gastric acidity, medications ... tongue), abd pain, diarrhea ... Check for IF ab Treatment ... B12 #Cobalamin #Deficiency
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