52 results
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Hypomagnesemia - ... Renal Causes of Hypomagnesemia ... with secondary, hypocalcemia ... causes #nephrology #magnesium ... #low
Symptoms and Signs of Hypomagnesemia
Neuromuscular:
 - Tetany, Muscle weakness, Chvostek and Trousseau signs, Cerebellar (ataxia, nystagmus,
Symptoms and Signs of Hypomagnesemia ... Muscle weakness, Chvostek ... , Hypocalcemia, ... Anemia #Hypomagnesemia ... #magnesium #Symptoms
Chvostek Sign on Physical Exam

Young man presented with history of fatigue, muscle cramps and features suggestive
Chvostek Sign on ... ionized calcium low ... Serum magnesium ... #Chvostek #Sign ... Clinical #Video #Hypocalcemia
Hypokalemia Differential Diagnosis Algorithm

Low intake 
• poor oral intake 

Renal loss 
• Medication 
• Hypomagnesemia 
•
Hypokalemia Differential ... Diagnosis Algorithm Low ... Medication • Hypomagnesemia ... Hypothermia • Hypokalemic ... amzn.to/2LmUODZ #Hypokalemia
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 ... #low
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Hypokalemia - Differential ... - Polyuria - Hypomagnesemia ... proliferation - Hypokalemic ... DrEricStrong #Hypokalemia ... Differential #Diagnosis #Low
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Hypomagnesemia - ... Primary intestinal hypomagnesemia ... Hypercalcemia - Hypokalemia ... Differential #Diagnosis #Low ... #Magnesium #Table
Potassium Electrolyte Repletion
If patient also has hypomagnesemia, replete magnesium before repleting potassium
Oral:
 • Pills (ask pharmacy
patient also has hypomagnesemia ... , replete magnesium ... Electrolyte #Repletion #management ... #hypokalemia
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
Hypermagnesemia ... intake - Magnesium ... DrEricStrong #Hypermagnesemia ... Diagnosis #High #Magnesium ... Table #Causes #Management
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Agents to Treat Hyperkalemia ... to moderate); hypokalemia ... K; also binds magnesium ... Side Effects: Hypomagnesemia ... nonspecifically binds K, magnesium