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diagnosis differential algorithm management high hypercalcemia hyperkalemia hypokalemia metabolic abg acid acidbase acidosis alkalosis aniongap base bee bloodgas ckd cord
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Causes of Chronic ... 3 months Pre-Renal ... Atheroemboli • Renal ... Immune (sarcoid, Sjögren ... KidneyDisease #Nephrology
Causes of Hypercalcemia Parathyroid hormone–dependent Primary hyperparathyroidism Familial hypocalciuric hypercalcemia Lithium-associated Tertiary hyperparathyroidism Genetic disorders (e.g., multiple endocrine neoplasia type 1 or
Causes of Hypercalcemia ... hyperparathyroidism Genetic disorders ... hormone–independent Renal ... failure, acute or chronic ... Differential #Diagnosis #Endocrinology
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 BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear Visual or auditory symptoms in conjunction
and less common diseases ... Inflammatory causes ... • Sjögren syndrome ... optica spectrum disorder ... #neurology #inflammatory
Causes of Hypercalcemia Parathyroid gland structure-related • Primary hyperparathyroidism • Parathyroid adenoma • Parathyroid hyperplasia • Parathyroid
Causes of Hypercalcemia ... Vitamin D metabolic disorders ... Pheochromocytoma Chronic ... • Milk-alkali syndrome ... #endocrinology
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Metabolic • Renal ... Obstructive Pulmonary Disease ... Neurologic • ... • Somatization Disorder ... Fatigue Syndrome
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... osmotic diuresis, Potassium ... disease • Drugs ... ) • Endocrine disorders ... differential #diagnosis #nephrology
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
involvement: Intractable nausea ... (AQP4-lgG disease ... Comorbid autoimmune disorders ... erythematosus, Sjögren ... Manifestations #diagnosis #neurology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Agents Regulating Renal ... Kidney stones caused ... Inhibitors of Renal ... specific bleeding disorders ... Excretion #Diuresis #Nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Tumor lysis syndrome ... • Addison’s disease ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
failure (acute and chronic ... Chronic progressive ... kidney disease ... Potassium-sparing ... #nephrology
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