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diagnosis differential nephrology causes algorithm management clinical pocus pathophysiology pharmacology ultrasound kidney treatment signs table symptoms endocrinology rheumatology syndrome workup
Hypophosphatemia - Measurement of urine phosphate excretion - Differential Diagnosis Algorithm • GI loss • Redistribution
urine phosphate excretion ... deficiency • Primary Renal ... urinary #phosphate #excretion
General approach to AKI - Checklist Urine electrolytes & FENa - Previously, it was believed that urine
that urine sodium excretion ... and fractional excretion ... differentiate between pre-renal ... and intrinsic renal
Hyperkalemia - Differential Diagnosis - Impaired Excretion vs Redistribution Impaired Urinary Excretion - Renal failure -
Diagnosis - Impaired Excretion ... Impaired Urinary Excretion ... - Renal failure
Causes of Hyperkalemia Hyperkalemia is caused by excess potassium intake, impaired potassium excretion, or transcellular shifts. The
impaired potassium excretion ... with impaired renal ... by increasing excretion ... and underlying renal
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 Hyperuricemia - Differential Diagnosis Algorithm Primary - Over-production • Increased turnover of nucleotides Primary
Primary - Under-excretion ... Secondary - Under-excretion ... Diabetic acidosis - Renal ... • Chronic renal
Drugs that Impair Renal Potassium Excretion Decreased ENaC channel function: Amiloride, Triamterene, Pentamidine Decreased Aldosterone Synthesis: Heparin,
Drugs that Impair Renal ... Potassium Excretion ... Impaired #Potassium #Renal
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
algorithm Decreased renal ... potassium excretion ... • Acute renal ... failure • Chronic renal ... high: • Post-renal
Approach to Hypomagnesemia Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
Fractional excretion ... cells FEMg >4% = renal ... magnesium loss if renal
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
Burns Increased Excretion ... Fistula Increased Excretion ... - Renal FE PO4
Hyperphosphatemia - Differential Diagnosis Algorithm Transcellular Shift: • Rhabdomyolysis • Tumor Lysis • Metabolic or Respiratory Acidosis
Deficiency Decreased Excretion ... PO4 < 20%: • Renal ... Context of Impaired Renal
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