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diagnosis differential causes nephrology hypokalemia workup low metabolic chloride potassium acidbase acidosis bloodgas classification drugs endocrinology framework hypomg interpretation lowphosphate
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
Differential Diagnosis Algorithm ... Acute Respiratory Alkalosis ... Hypokalemia • Hypomagnesemia ... • Small bowel diarrhea ... Steatorrhea • Chronic Diarrhea
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
- Urinary Chloride ... Congenital chloride diarrhea ... Gitelman syndrome, Hypomagnesemia ... acidosis: Chronic diarrhea ... #causes #urinary
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia ... Differential Diagnosis Algorithm ... Absorption: Chronic Diarrhea ... Acute Respiratory Alkalosis ... • N Vitamin D: Primary
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
- Urinary Chloride ... Algorithm Cl- ... Gitelman syndrome, Hypomagnesemia ... #Urinary #Chloride ... #urine #Algorithm
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Rule out spurious hypophosphatemia ... Malabsorption, Chronic diarrhea ... Glucose, Acute resp. alkalosis ... Normal or High PTH: Primary
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
NG drainage - Diarrhea ... Ureterosigmoidostomy Urinary ... - Polyuria - Hypomagnesemia ... Catecholamines - Alkalosis
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Acidosis - RTA - Diarrhea ... Periodic paralysis Alkalosis ... Metabolic alkalosis ... Primary hyperaldo
Causes of Hypomagnesemia Redistribution: - IV glucose - Correction of diabetic ketoacidosis - IV hyperalimentation - Refeeding
Causes of Hypomagnesemia ... biliary fistula - Diarrhea ... depletion - Familial hypophosphatemia ... Hypercalcemic states - Primary ... aldosteronism #Hypomagnesemia
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
pH - What’s the primary ... production Respiratory alkalosis ... Vomiting D - Diarrhea ... - Contraction alkalosis ... acidbase #workup #algorithm
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... biliary fistula, Diarrhea ... depletion, Familial hypophosphatemia ... Hypercalcemic states, Primary ... aldosteronism #Hypomagnesemia
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