14 results
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
NG drainage - Diarrhea ... - Polyuria - Hypomagnesemia ... Diagnosis #Low #Potassium ... #Table #Classification ... #Causes
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Defining the cause ... Renal K loss • Hypomagnesemia-induced ... diagnosis #algorithm #causes ... #nephrology #potassium
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... Side Effects: Hypomagnesemia ... , diarrhea, nausea ... constipation, diarrhea ... of aspiration #Potassium
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Hypomagnesemia - ... losses - Chronic diarrhea ... Hypercalcemia - Hypokalemia ... Magnesium #Table #Classification ... #Causes #Workup
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Gl tract loss (Diarrhea ... Diagnosis #Algorithm #causes ... #potassium #low ... #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... wasting from other causes ... suggests extra-renal causes ... Laxative use • Diarrhea ... #nephrology #low
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... Alcoholism (worsened by hypomagnesemia ... nasogastric suction, Diarrhea ... #Causes #differential ... #diagnosis #nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Diarrhea B. ... Hypokalemia ... Hyperkalemia ... Potassium-sparing ... #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
, mild hypomagnesemia ... (renal potassium ... Congenital chloride diarrhea ... Supplement: • Potassium ... Syndrome #diagnosis #nephrology
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... biliary fistula, Diarrhea ... osmotic diuresis, Potassium ... #Causes #differential ... #diagnosis #nephrology