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diagnosis differential nephrology hypokalemia potassium criticalcare endocrinology management table workup adrenal alkalosis chloride clinica clinical clinicopathology ecg echocardiogram ekg electrocardiogram
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
inhibitors Other causes ... transplant - SLE ... High Renin - ... Ketoconazole Low ... #Algorithm #diagnosis
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... Gl tract loss (Diarrhea ... Syndrome • HTN, High ... secreting tumor, Primary ... #causes #potassium
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... Laxative use • Diarrhea ... mEq/g suggests urinary ... losses: • High ... consumption • Low
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
NG drainage - Diarrhea ... Ureterosigmoidostomy Urinary ... Differential #Diagnosis #Low ... Potassium #Table #Classification ... #Causes
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Differential Diagnosis Algorithm ... Elevated PTH (High ... or normal): • Primary ... Low PTH: • Elevated ... #causes #endocrinology
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary ... losses - Chronic diarrhea ... Differential #Diagnosis #Low ... Magnesium #Table #Classification ... #Causes #Workup
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... Al, Low R - Primary ... Gitelman's syndrome #Hypokalemia ... #nephrology #causes
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... insufficiency likely: • High ... baseline ACTH - Primary ... insufficiency • Low
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Sodium >145 mmol/L High ... Osmotic diuresis (see ... mannitol, glucosuria Low ... loss • Watery Diarrhea ... #Causes
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... <20mmol/d • Diarrhea ... Liddle's syndrome #Hypokalemia ... Differential #Diagnosis #Algorithm
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