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diagnosis differential nephrology alkalosis hypokalemia low chloride hypomagnesemia hypophosphatemia potassium syndrome workup abdominal chronic drugs endocrinology gastroenterology hiv hypomg hyponatremia
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Refeeding Syndrome ... from hormonal and metabolic ... overload) Other Symptoms ... Palpitations • Diarrhea ... deficiency • Primary
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
Recovery From DKA • Refeeding ... Syndrome • Acute ... • Small bowel diarrhea ... Steatorrhea • Chronic Diarrhea ... endocrinology #causes
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Differential Diagnosis Algorithm ... - Urinary Chloride ... Congenital chloride diarrhea ... acidosis: Chronic diarrhea ... #causes #urinary
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
- Urinary Chloride ... Algorithm Cl- ... the indicated causes ... #Urinary #Chloride ... #urine #Algorithm
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Low intake • Metabolic ... Gl tract loss (Diarrhea ... secreting tumor, Primary ... #causes #potassium
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Acidosis - RTA - Diarrhea ... Metabolic alkalosis ... Primary hyperaldo ... #Diagnosis #Causes
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Differential Diagnosis Algorithm ... Absorption: Chronic Diarrhea ... Transcellular Shift: Refeeding ... Syndrome, Acute ... • N Vitamin D: Primary
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... wasting from other causes ... suggests extra-renal causes ... Laxative use • Diarrhea ... mEq/g suggests urinary
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... tubal acidosis and metabolic ... losses, Vomiting, Diarrhea ... UNa > 20: • Acute
Causes of Hypomagnesemia Redistribution: - IV glucose - Correction of diabetic ketoacidosis - IV hyperalimentation - Refeeding
Causes of Hypomagnesemia ... hyperalimentation - Refeeding ... starvation - Acute ... biliary fistula - Diarrhea ... Hypomagnesemia #Causes
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