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Differential Diagnosis of Hypo and Hypermagnesemia #Diagnosis #EM #IM #Differential #Hypormagnesemia #Hypermagnesemia #Ddxof
Diagnosis of Hypo and Hypermagnesemia ... #Differential #Hypormagnesemia ... #Hypermagnesemia
Causes of Hypermagnesemia
Increased magnesium load
 - Magnesium-containing laxatives, antacids, or enemas
 - Treatment of pre-edampsia/eclampsia (mothers
Causes of Hypermagnesemia ... Addison's disease) #Hypermagnesemia
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
Hypermagnesemia ... DrEricStrong #Hypermagnesemia
Hypermagnesemia - Diagnosis and Management

Hypermagnesemia is a serum magnesium concentration > 2.6 mg/dL.
Symptoms include hyporeflexia, hypotension,
Hypermagnesemia ... Management Hypermagnesemia ... ICU Causes of Hypermagnesemia ... @DharSaty #Hypermagnesemia
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Hypercalcemia, Hypermagnesemia ... Hypocalcemia, Hypomagnesemia
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Hypomagnesemia - ... Renal Causes of Hypomagnesemia ... Isolated recessive hypomagnesemia ... , Familial hypomagnesemia ... Mitochondrial hypomagnesemia
Gitelman Syndrome Pathophysiology
Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
reabsorption → Hypermagnesuria ... , Hypomagnesemia
Causes of Altered Level of Consciousness GCS < 7 - Differential Diagnosis Algorithm

Brain Involvement - Hemispheric
Hypercalcemia • Hypermagnesemia ... Hypocalcemia • Hypomagnesemia
Hypomagnesemia (Serum level < 1.7 mg/dL)
Neuromuscular manifestations 
 • Tremor, tetany, seizures 
 • Weakness
Hypomagnesemia ( ... calcitriol #Hypomagnesemia
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... CNIs • Familial hypomagnesemia ... @kdjhaveri #Hypomagnesemia