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diagnosis differential nephrology potassium cardiology hypokalemia anesthesia anesthesiology bradycardia checklist classification ecg ekg electrocardiogram elevation endocrinology hyperthyroidism intraoperative management segment
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... EABV (e.g., CHF ... • ENaC blockers ... nephropathy • Beta ... #IntercellularShift
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
transplant - SLE High ... Ketoconazole Low ... - NSAlDs - Beta-Blockers ... #Hyperkalemia ... #Algorithm #diagnosis
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... potassium • Beta ... Food - Avoid in CRF ... differential #diagnosis #causes ... #potassium #high
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... potassium • Beta ... Food - Avoid in CRF ... differential #diagnosis #causes ... #potassium #high
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... , TTKG, distal flow ... Resistance • Beta ... #IntercellularShift ... #Causes
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... • Insulin • Beta ... Liddle's syndrome #Hypokalemia ... Differential #Diagnosis #Algorithm
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Diagnosis: • ↓ Low ... psychosis - CHF ... ↑ T3 - Mild hypercalcemia ... Treatment: - Beta ... hyperthyroidism #causes
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Check fresh gas flow ... Consider known drug causes ... Also consider: high ... toxicity (→ 3-10); beta-blocker ... myocardial infarction, hyperkalaemia
Causes of Hyperkalemia l. Pseudohyperkalemia A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis B.
Causes of Hyperkalemia ... Beta-Adrenergic ... Drug-associated: heparin, low-molecular-weight ... Differential #Diagnosis #High ... Classification #Causes
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Bundle Branch Block ... bundle-branch block ... Tower sign) and low-amplitude ... • Short QT, high
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