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causes nephrology potassium high algorithm classification hypomagnesemia table workup chronic diuresis diuretics drugs encephalopathy excretion fatigue hypertension indications low magnesium
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic ... algorithm Decreased renal ... excretion • Acute renal ... failure • Chronic renal ... high: • Post-renal
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
diarrhea / IBD Renal ... Loses - Medications ... - Transient renal ... - Familial renal ... #Diagnosis #Low
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... resistance Impaired Renal ... deficiency • Renal ... Type IV RTA • Renal ... Medications 2.
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... resistance Impaired Renal ... deficiency • Renal ... Type IV RTA • Renal ... Medications 2.
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Endocrine • Hypo ... Hyperthyroidism • Diabetes ... Metabolic • Renal ... Liver Failure • Hypercalcemia ... Myasthenia Gravis Pharmacologic
Causes of Hypomagnesemia Redistribution: - IV glucose - Correction of diabetic ketoacidosis - IV hyperalimentation - Refeeding
Correction of diabetic ... (steatorrhea) Renal ... Tubulointerstitial renal ... #differential # ... hypomg
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Agents Regulating Renal ... Hyponatremia • Hypercalcemia ... Inhibitors of Renal ... #Diuretics #Renal ... #Medications #Table
Causes of Hyperkalemia l. Pseudohyperkalemia A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis B.
Renal resistance ... Advanced renal insufficiency ... End-stage renal ... #Differential # ... Diagnosis #High
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
damage such as retinal ... eg, presence of renal ... • Vascular: Renal ... Renal parenchymal ... #Diagnosis #indications
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Immunosuppressive agents, Renal ... Blood transfusion, Hypercalcemia ... visualized as a hypo ... Reversible course Differential ... Electrolyte abnormality, Medication
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