22 results
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
D - Bone disease ... • Thiamine - Nausea ... immune function, diarrhea ... Calcium - Bone disease ... #nutrition #table
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
initiation of nutrition ... due to chronic disease ... Palpitations • Diarrhea ... , K, Mg2+) • Slow ... Differential #Diagnosis #Pathophysiology
Hypophosphatemia - Differential Diagnosis Algorithm

Transcellular Shift
 • Recovery From DKA
 • Refeeding Syndrome
 • Acute Respiratory
• Small bowel diarrhea ... Hyperparathyroidism • Vitamin ... Inflammatory Bowel Disease ... Steatorrhea • Chronic Diarrhea ... endocrinology #causes
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Differential Diagnosis Algorithm ... Appropriately Low ... Absorption: Chronic Diarrhea ... Differential #Diagnosis #Algorithm ... #nephrology #phosphorus
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Gl tract loss (Diarrhea ... Differential #Diagnosis #Algorithm ... #causes #potassium ... #low #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... mannitol, glucosuria Low ... loss • Watery Diarrhea ... Hypernatremia #Nephrology ... #Causes
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Differential Diagnosis Algorithm ... Distributive Shock - Low ... Left-sided Valvular Disease ... Vomiting • Diarrhea ... #causes
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
biliary fistula, Diarrhea ... Tubulointerstitial renal disease ... Amphotericin B, Vitamin ... differential #diagnosis #nephrology ... #magnesium #low
Causes of Polycythemia (Erythrocytosis) - Differential Diagnosis Algorithm
Relative - Normal RBC Mass / Decreased Plasma Volume
Causes of Polycythemia ... Differential Diagnosis Algorithm ... • Burns • Diarrhea ... JAK-2 Positive - Low ... #Causes #Hematology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... Laxative use • Diarrhea ... consumption • Low ... differential #potassium #nephrology ... #low