56 results
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
Hypermagnesemia ... intake - Magnesium ... DrEricStrong #Hypermagnesemia ... Diagnosis #High #Magnesium ... #Table #Causes
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Hypomagnesemia - ... Diagnosis Renal Causes ... Renal Causes of ... differential #diagnosis #causes ... #nephrology #magnesium
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
Approach to Hypomagnesemia ... = (urine magnesium ... )/ [0.7 (serum magnesium ... @NEPHKIDS1 #Hypomagnesemia ... differential #diagnosis #causes
Causes of Hypermagnesemia
Increased magnesium load
 - Magnesium-containing laxatives, antacids, or enemas
 - Treatment of pre-edampsia/eclampsia (mothers
Causes of Hypermagnesemia ... Increased magnesium ... load - Magnesium-containing ... Addison's disease) #Hypermagnesemia ... #Causes #diagnosis
Magnesium Electrolyte Repletion
Oral - Only do if patient does not tolerate IV
 • Magnesium oxide (can
Magnesium Electrolyte ... tolerate IV • Magnesium ... oxide (can cause ... diarrhea and cause ... Repletion #management #hypomagnesemia
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... Hypercalcemia, Hypermagnesemia ... Deep coma (any cause ... Hypocalcemia, Hypomagnesemia ... differential #diagnosis #table
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Hypomagnesemia - ... Primary intestinal hypomagnesemia ... Diagnosis #Low #Magnesium ... #Table #Classification ... #Causes #Workup
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... CNIs • Familial hypomagnesemia ... @kdjhaveri #Hypomagnesemia ... #Magnesium #Low ... #Causes #Differential
Symptoms and Signs of Hypomagnesemia
Neuromuscular:
 - Tetany, Muscle weakness, Chvostek and Trousseau signs, Cerebellar (ataxia, nystagmus,
Symptoms and Signs of Hypomagnesemia ... Muscle weakness, Chvostek ... Dysphagia, Anorexia, nausea ... Hypocalcemia, Anemia #Hypomagnesemia ... #magnesium #Symptoms
Potassium Electrolyte Repletion
If patient also has hypomagnesemia, replete magnesium before repleting potassium
Oral:
 • Pills (ask pharmacy
patient also has hypomagnesemia ... , replete magnesium ... Intravenous (can cause