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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
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
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
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
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Hypomagnesemia - ... Primary intestinal hypomagnesemia ... DrEricStrong #Hypomagnesemia
Vertical (Upbeat) Nystagmus on Physical Exam

This patient had severe hypomagnesemia. Serum Mg 0.1 mg/dl.

Dr. Arvind Canchi
patient had severe hypomagnesemia ... #PhysicalExam #hypomagnesemia
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
Approach to Hypomagnesemia ... @NEPHKIDS1 #Hypomagnesemia
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
hypokalemia and hypomagnesemia ... Topiramate Hypomagnesemia ... #hypokalemia #hypomagnesemia