12 results
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
(K) & magnesium( ... A urine K/Cr ratio ... Laxative use • Diarrhea ... diagnosis #Algorithm #differential ... #low
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
the basis of the potassium-to-creatinine ... Gastrointestinal loss: Diarrhea ... EABV, Low Plasma ... Plasma HCO3- • Low ... #potassium #differential
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
2-2.5% or 24h Urine ... Mg < 10g • Diarrhea ... 2-2.5% or 24h Urine ... Hypomagnesemia #Magnesium ... #Low #Causes #Differential
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Hypokalemia - Differential ... NG drainage - Diarrhea ... #Diagnosis #Low ... #Potassium #Table ... #Classification
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... Hypomagnesemia #Differential ... #Diagnosis #Low ... #Magnesium #Table ... #Classification
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Congenital chloride diarrhea ... alkalosis • Normal/low ... acidosis due to diarrhea ... of sodium and potassium ... Algorithm #nephrology #differential
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
biliary fistula, Diarrhea ... osmotic diuresis, Potassium ... Hypomagnesemia #Causes #differential ... diagnosis #nephrology #magnesium ... #low
Causes of Hypokalemia - Differential Diagnosis Algorithm
Decreased intake (rare cause in isolation)
GI loss - Urine loss
Hypokalemia - Differential ... isolation) GI loss - Urine ... <20mmol/d • Diarrhea ... Gittelman's syndrome • Magnesium ... Hypokalemia #Nephrology #Differential
Causes of Hypokalemia
I. Decreased intake
   A. Starvation
   B. Clay ingestion
II. Redistribution into
Gastrointestinal loss (diarrhea ... Magnesium deficiency ... #Hypokalemia #Differential ... #Diagnosis #Low ... #Potassium #Classification
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal or low ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... Congenital chloride diarrhea ... • Magnesium