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Hyperkalemia Hypokalemia - Differential Diagnosis and Management Algorithm

Dr Pravin Patel

#Hypokalemia #Hyperkalemia #potassium #differential #diagnosis #management
Hyperkalemia Hypokalemia ... - Differential ... Pravin Patel #Hypokalemia ... #Hyperkalemia # ... potassium #differential
Causes of Hyperkalemia

Hyperkalemia is caused by excess potassium intake, impaired potassium excretion, or transcellular shifts. The
Causes of Hyperkalemia ... Hyperkalemia ... The etiology of hyperkalemia ... sole cause of hyperkalemia ... #Differential #
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Causes of Hyperkalemia ... - Differential ... Excretion (IV potassium ... Transcellular Shift #Hyperkalemia ... #Nephrology #Differential
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... Mnemonic • BRASH/Hyperkalemia ... BRASH Syndrome - Hyperkalemia ... • Shock • Hyperkalemia ... Electrolytes: • hyperkalemia
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
Hyperkalemia: Diagnostic ... Decreased renal potassium ... Drugs Increased potassium ... • Type 1 #Hyperkalemia ... #differential
Hyperkalemia Differential Diagnosis Algorithm
R/O Pseudo-hyperkalemia:
 • Possible Lab error! Alwavs Repeat Blood sample!
 • Leukocytosis, Thrombocytosis:
Hyperkalemia Differential ... Algorithm R/O Pseudo-hyperkalemia ... plasma [K+] #Hyperkalemia ... #Differential # ... Algorithm #causes #potassium
Classification of Tumor Lysis Syndrome (TLS) and Treatment of Metabolic Abnormalities of TLS
Laboratory TLS:
 • Uric
Classification of ... 8.0 mg/dL • Potassium ... Calcium ≤ 7.0 mg/dL Clinical ... hydroxide • Hyperkalemia ... treatment • Hypocalcemia
Multiple Endocrine Neoplasias (MEN syndromes) 

MEN I
• Hyperparathyroidism 
• Hypercalcemia 
• Possible ZE syndrome 
• Various
Hyperparathyroidism • Hypercalcemia ... Hyperparathyroidism • Hypercalcemia ... MultipleEndocrineNeoplasia #Differential ... Endocrinology #Classification
Bradycardia Diagnostic and Management Algorithm

CONSIDER ETIOLOGY (not inclusive): 
 - STRUCTURAL: sick sinus, AV block, ischemia,
Bradycardia Diagnostic ... dissection - INFECTIOUS ... Electrolytes (hyperkalemia ... Diagnosis #Management #Bradycardia ... #Algorithm #Differential
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on ... EKG "Mild" Hyperkalemia ... machine "Moderate" Hyperkalemia ... widening • Sinus bradycardia ... pattern "Severe" Hyperkalemia