23 results
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Diagnosis Renal Causes ... Renal Causes of ... pentamidine), Hypercalcemia ... #nephrology #magnesium ... #low
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... Differential Diagnosis Algorithm ... Urine Mg < 10g • Diarrhea ... Diuretics • Hypercalcemia-PTH ... #Magnesium #Low
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... - Hypokalemia ... Differential #Diagnosis #Low ... #Magnesium #Table ... Classification #Causes
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
Approach to Hypomagnesemia ... #algorithm #differential ... #diagnosis #causes ... #nephrology #magnesium ... #low
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... (K) & magnesium( ... Laxative use • Diarrhea ... consumption • Low ... #nephrology #low
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... K; also binds magnesium ... Side Effects: Hypomagnesemia ... , diarrhea, nausea ... constipation, diarrhea
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Gl tract loss (Diarrhea ... #causes #potassium ... #low #nephrology
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
NG drainage - Diarrhea ... - Polyuria - Hypomagnesemia ... Differential #Diagnosis #Low ... #Potassium #Table ... Classification #Causes
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... losses (NG suction, diarrhea ... #nephrology #low ... #potassium
Hypophosphatemia - Differential Diagnosis Algorithm

Transcellular Shift
 • Recovery From DKA
 • Refeeding Syndrome
 • Acute Respiratory
Alkalosis • Hypokalemia ... • Hypomagnesemia ... • Small bowel diarrhea ... : • Aluminum/Magnesium ... endocrinology #causes