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differential potassium hypokalemia low metabolic workup adrenal calcium insufficiency table chloride classification cosyntropin diuresis diuretics elevated emesis evaluation excretion gout
Causes of Hypercalcemia Hypercalcemia due to increased bone Ca2+ resorption: • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
Causes of Hypercalcemia ... Hypercalcemia ... resorption: • Primary ... #diagnosis #calcium ... #high #endocrinology
Causes of Hypercalcemia - Differential Diagnosis Algorithm • Primary Hyperparathyroidism • Possible Familial Hypocalciuric Hypercalcemia
Causes of Hypercalcemia ... Algorithm • Primary ... Hypocalciuric Hypercalcemia ... • Humoral Hypercalcemia ... #Algorithm #Causes
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Hypercalcemia - ... PTH (High or normal ... Hypocalciuric Hypercalcemia ... Thiazides/Lithium #Hypercalcemia ... #Algorithm #causes
Hyperkalemia Differential Diagnosis Algorithm R/O Pseudo-hyperkalemia: • Possible Lab error! Alwavs Repeat Blood sample! • Leukocytosis, Thrombocytosis:
Hyperkalemia Differential ... Diagnosis Algorithm ... R/O Pseudo-hyperkalemia ... plasma [K+] #Hyperkalemia ... #Algorithm #causes
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic ... • Tumor lysis/hemolysis ... • Type 1 #Hyperkalemia ... #Diagnosis #algorithm ... #nephrology #potassium
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
The Diagnostic Approach ... to Hyperkalemia ... transplant - SLE High ... Beta-Blockers #Hyperkalemia ... #Algorithm #diagnosis
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
Causes of HyperKalemia ... Tissue injury • Hemolysis ... glycosides • High ... blockers - MCW Nephrology ... MCW_Nephrology #HyperKalemia
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... Primary hyperaldo ... #Diagnosis #Causes ... #Workup #Nephrology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... insufficiency likely: • High ... baseline ACTH - Primary ... #Algorithm #endocrinology
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... PTH - Frankly high ... BrighamChiefs #Hypercalcemia ... #differential #diagnosis ... #endocrinology
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