118 results
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low Kidney Phosphate ... Diarrhea, Antacids, Phosphate ... Inappropriately High Kidney Phosphate ... • N or ↓FGF23: Fanconi ... Algorithm #nephrology #phosphorus
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Fractional Excretion of Phosphate ... absorption (Antacids, Phosphorus ... or Low FGF-23: Fanconi ... Framework #Workup #phosphate
Phosphate Electrolyte Repletion
Oral: Neutra-Phos, Neutra-Phos-K, K-Phos Neutral (Na and K Phos)
Intravenous: Potassium Phosphate, Sodium Phosphate

Satya Patel
Phosphate Electrolyte ... Intravenous: Potassium Phosphate ... , Sodium Phosphate ... SatyaPatelMD #Phosphate ... hypophosphatemia #intern #phosphorus
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hereditary, TIO, Fanconi ... Hypophosphatemia #phosphorus
Intern Pocket Cards - Electrolyte Repletion Guide
Electrolyte Repletion:
 - Potassium (ref range 3.5-4.5)
 - Magnesium (ref
range 8-10) - Phosphate ... internship #potassium #phosphate ... #phosphorus #magnesium
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Malabsorption, Phosphate ... losses: FGF23, PTH, Fanconi ... causes #nephrology #phosphate
Hypophosphatemia and Hypoxia - Pathophysiology

↓ Phosphate leads to ↓ red cell 2,3-DPG and a  reduction
Phosphate diverts ... ↓ Phosphate does ... change in serum phosphorus ... ↓ phosphorus ... condition of renal phosphorus
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Low Alkaline Phosphatase ... Is Low Alkaline Phosphatase ... • Pyridoxal 5' phosphate ... deficiency • Low phosphorus ... of Low Alkaline Phosphatase
Localization of Renal Tubular Defects
Fanconi Syndrome: Proximal tubule
Bartter Syndrome: Thick ascending loop of Henle
Gitelman Syndrome: Distal
Tubular Defects Fanconi ... Liddle #Syndrome #Fanconi
Parathyroid Hormone (PTH) Effect in Calcium and Phosphorus
Calcium - Net Effect Hypercalcemia:
   ↑ intestinal
in Calcium and Phosphorus ... tubular reabsorption Phosphorus ... parathormone #Calcium #Phosphorus