19 results
Classification, Differential Diagnosis, and Features of Hyponatremia According to Volume Status 

Hypervolemic hypernatremia 
 - CHF
Classification, ... Differential Diagnosis ... - Nephrotic syndrome ... Glucocorticoid deficit - Hypokalemia ... Vomiting - Diarrhea
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
patients with hypokalemia ... the basis of the potassium-to-creatinine ... Gastrointestinal loss: Diarrhea ... #urine #potassium ... #differential #
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... • Refeeding syndrome ... losses (NG suction, diarrhea ... #Differential # ... #potassium
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Hypokalemia - Differential ... NG drainage - Diarrhea ... Diagnosis #Low # ... Potassium #Table ... #Classification
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Gl tract loss (Diarrhea ... @priti899 #Hypokalemia ... #Differential # ... Algorithm #causes #potassium
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... Laxative use • Diarrhea ... A urine K/Cr ratio ... diagnosis #Algorithm #differential ... #low
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... Hypercalcemia - Hypokalemia ... Hypomagnesemia #Differential ... #Diagnosis #Low ... Magnesium #Table #Classification
Causes of Hypokalemia - Differential Diagnosis Algorithm
Decreased intake (rare cause in isolation)
GI loss - Urine loss
Causes of Hypokalemia ... - Differential ... isolation) GI loss - Urine ... <20mmol/d • Diarrhea ... #Nephrology #Differential
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal or low ... (renal potassium ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... Congenital chloride diarrhea
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... can be high or low ... Present (Uosm ≥100): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... #differential #