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differential hyperkalemia high nephrology potassium bruise dm2 ecchymosis elevation false hba1c hematology hematomas hgba1c increase laboratory management petechiae product purpura
Causes of False Elevation and Reduction in HbA1c == False Elevation == Decreased RBC turnover • Iron, B-12,
Causes of False ... Elevation == Decreased ... turnover • Acute blood ... loss • Hemolytic ... #Decrease #Diagnosis
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
Blood Product Transfusions ... Transfusion Thresholds ... Causes purpura & ... TRALI): Leading cause ... #diagnosis #management
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Differential Diagnosis ... leukocytosis • Clenching ... Crush injury • Blood ... Blood transfusion ... #causes #potassium
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Differential Diagnosis ... leukocytosis • Clenching ... Crush injury • Blood ... Blood transfusion ... #causes #potassium
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
Causes of HyperKalemia ... Tissue injury • Hemolysis ... dietary intake • Blood ... transfusion • ... of injection Decreased
Bleeding manifestations Petechiae are small, flat, red, discrete areas of skin bleeding that are typically <2
They are non-blanching ... ecchymosis) is caused ... vary with stress; increase ... Diagnosis VWF ... Satyendra Dhar MD, @DharSaty
Causes of Hyperkalemia Pseudohyperkalemia - Tourniquet use - Hemolysis (in vitro) - Leukocytosis - Thrombocytosis Intra- to extracellular
Causes of Hyperkalemia ... Potassium-containing drugs - Transfusion ... of aged blood ... tissue necrosis Decreased ... #diagnosis #differential
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