16 results
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift: • Alkalosis ... losses (NG suction, diarrhea ... vomiting) • Low ... #nephrology #low ... #potassium
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Acidosis - RTA - Diarrhea ... Metabolic alkalosis ... Primary hyperaldo ... Diagnosis #Causes #Workup ... #Nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
- Urinary Chloride ... Algorithm Cl- ... • Normal/low ... of sodium and potassium ... #nephrology #differential
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 ... - Metabolic Alkalosis ... #nephrology #low
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
- Urinary Chloride ... Congenital chloride diarrhea ... - Normal/low ... acidosis: Chronic diarrhea ... #causes #urinary
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Gl tract loss (Diarrhea ... secreting tumor, Primary ... #causes #potassium ... #low #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... Absorption: Chronic Diarrhea ... Acute Respiratory Alkalosis ... #nephrology #phosphorus ... #workup
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
NG drainage - Diarrhea ... Ureterosigmoidostomy Urinary ... Catecholamines - Alkalosis ... Differential #Diagnosis #Low ... #Potassium #Table
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Malabsorption, Chronic diarrhea ... Glucose, Acute resp. alkalosis ... • Normal or Low ... #phosphate #nephrology
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
pH - What’s the primary ... Vomiting D - Diarrhea ... nickmmark #acidbase #workup ... #algorithm #diagnosis ... #acidosis #alkalosis