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diagnosis differential nephrology causes metabolic chloride urinary workup aspirin endocrinology framework hypernatremia hypokalemia hyponatremia low lowphosphate management metabolicacidosis nongap phosphate
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
Differential Diagnosis Algorithm ... Acute Respiratory Alkalosis ... • Small bowel diarrhea ... • Anorexia • Chronic ... Diarrhea #Hypophosphatemia
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... leukemia Measure Urine ... Malabsorption, Chronic ... diarrhea, Poor ... Glucose, Acute resp. alkalosis
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... metabolic acidosis • Chronic ... diarrhea • Kidney ... D-lactic acidosis • Chronic ... #Algorithm #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia ... Differential Diagnosis Algorithm ... GI Absorption: Chronic ... Diarrhea, Antacids ... Acute Respiratory Alkalosis
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Differential Diagnosis Algorithm ... Congenital chloride diarrhea ... metabolic acidosis: Chronic ... diarrhea, Kidney ... D-lactic acidosis, Chronic
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
volume contracted: urine ... Chloride-rich diarrhea ... acute reversal of chronic ... volume expanded: urine ... dehydrogenase activity: Chronic
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Differential Diagnosis Algorithm ... and metabolic alkalosis ... losses, Vomiting, Diarrhea ... : • Acute or chronic ... Differential #Diagnosis #Algorithm
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Differential Diagnosis Algorithm ... 145 mmol/L High Urine ... Osmotic diuresis (see ... glucosuria Low Urine ... loss • Watery Diarrhea
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... A urine K/Cr ratio ... Laxative use • Diarrhea ... A urine K/Cr ratio ... - Metabolic Alkalosis
Salicylate Toxicity - Diagnosis and Management Consider if: 1) Patient is hot and altered 2) You see tachypnea with
altered 2) You see ... History of acute or chronic ... Acidosis, Respiratory Alkalosis ... Resuscitation 2) Urine
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