9 results
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Vomiting D - Diarrhea ... MD @nickmmark #acidbase ... #workup #algorithm ... #diagnosis #acidosis ... #alkalosis #metabolic
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Acidosis - RTA - Diarrhea ... Metabolic alkalosis ... #Diagnosis #Causes ... #Workup #Nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
- Differential Diagnosis ... Shift: • Alkalosis ... losses (NG suction, diarrhea ... vomiting) • Low ... #Algorithm #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Low Kidney Phosphate ... Absorption: Chronic Diarrhea ... Acute Respiratory Alkalosis ... #Algorithm #nephrology ... #phosphorus #workup
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential Diagnosis ... Malabsorption, Chronic diarrhea ... Glucose, Acute resp. alkalosis ... #phosphate #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... • Normal/low ... Chloride #urine #Algorithm ... #nephrology #differential ... #diagnosis
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
- Differential Diagnosis ... Osmotic diuresis (see ... mannitol, glucosuria Low ... loss • Watery Diarrhea ... Hypernatremia #Nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Laxative use • Diarrhea ... - Metabolic Alkalosis ... #Hypokalemia #diagnosis ... #potassium #nephrology ... #low
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
- Differential Diagnosis ... Algorithm Cause ... Decreased Intake: • Low ... NGT suction - Diarrhea ... #Nephrology #Chloride