7 results
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 ... hyperparathyroidism Treatment ... #Syndrome #Nutrition
Hypophosphatemia - Differential Diagnosis Algorithm

Transcellular Shift
 • Recovery From DKA
 • Refeeding Syndrome
 • Acute Respiratory
Differential Diagnosis Algorithm ... Recovery From DKA • Refeeding ... • Small bowel diarrhea ... Inflammatory Bowel Disease ... Steatorrhea • Chronic Diarrhea
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Differential Diagnosis Algorithm ... Absorption: Chronic Diarrhea ... Transcellular Shift: Refeeding ... #nephrology #phosphorus ... #workup
Risk Factors and Signs of Copper Deficiency
Risk Factors:
 • Gastrointestinal: Previous upper bowel resection/bariatric surgery, Inflammatory
Signs of Copper Deficiency ... , Chronic diarrhoea ... dental fixatives, Treatment ... • Nutritional: ... drkeithsiau #Copper #Deficiency
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 ... Transcellular Shift: Refeeding ... #phosphate #nephrology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... tongue), abd pain, diarrhea ... to IBD, celiac disease ... Check for IF ab Treatment ... diagnosis #management #nutrition
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
• Autoimmune disease ... acidosis (RTA)) • Refeeding ... Congenital chloride diarrhea ... Rhabdomyolysis Treatment ... Syndrome #diagnosis #nephrology