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diagnosis differential nephrology hypokalemia metabolic potassium chloride hypophosphatemia nutrition workup acute beriberi bulimianervosa complications deficiency endocrinology framework gitelman hiv hypochloremia
Causes of Hypokalemia - Differential Diagnosis Algorithm Increased Loss - Increased GI Loss - Increased Urinary
Causes of Hypokalemia ... - Increased Urinary ... Beta-Agonist - Refeeding ... Syndrome #Hypokalemia ... #low #pathophysiology
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Refeeding Syndrome ... Palpitations • Diarrhea ... deficiency • Primary ... , K, Mg2+) • Slow ... Differential #Diagnosis #Pathophysiology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift: • Alkalosis ... paralysis • Refeeding ... syndrome • Thyrotoxicosis ... losses (NG suction, diarrhea ... vomiting) • Low
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Differential Diagnosis Algorithm ... - Urinary Chloride ... - Normal/low ... , Gitelman syndrome ... #causes #urinary
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
Recovery From DKA • Refeeding ... Syndrome • Acute ... Respiratory Alkalosis ... • Small bowel diarrhea ... endocrinology #causes
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... Absorption: Chronic Diarrhea ... Transcellular Shift: Refeeding ... Respiratory Alkalosis ... • N Vitamin D: Primary
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic ... Alkalosis - Differential ... Diagnosis Algorithm ... Differential #Diagnosis #Algorithm ... #Nephrology #Causes
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Malabsorption, Chronic diarrhea ... Transcellular Shift: Refeeding ... Glucose, Acute resp. alkalosis ... • Normal or Low ... - Normal or Low
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... Laxative use • Diarrhea ... mEq/g suggests urinary ... consumption • Low ... - Metabolic Alkalosis
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 ... Differential #Diagnosis #Algorithm ... #causes #potassium
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