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differential causes treatment potassium hyperkalemia syndrome criticalcare hepatorenal high hrs hypokalemia low magnesium oncology pancreatitis summary table abg acid acidbase
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... 15 suggests ↓ renal ... hypertonic Amp IVP ... IV loop diuretic ... #potassium #nephrology
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
membrane: • IV ... concentration: • IV ... (if preserved renal ... function) - Loop diuretic ... often with saline IVF
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... Association class IV ... Postoperative abdominal ... #Diuresis #Nephrology
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Villous adenoma Renal ... chewing tobacco, Renal ... and lymphomas, IV ... #differential #diagnosis ... #nephrology
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
- Differential Diagnosis ... • Large volume IVF ... a.k.a. osmotic diuresis ... Nephrogenic DI (Renal ... #Causes #nephrology
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Redistribution: IV ... ketoacidosis, IV ... steatorrhea) • Renal ... #differential #diagnosis ... #nephrology #magnesium
Imaging Modalities for Renal Calculus AXR. KUB - Good far calcium-containing stones useful when limited radiation dose
radiation dose Ultrasound ... causes of flank or abdominal ... stones IVP - ... tumors) - Limited IVP ... scan) when an ultrasound
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary Clinical features - Classic triad (flank pain, hematuria,
(RCC) - Diagnosis ... and Management ... and a palpable abdominal ... syndrome (involvement IVC ... initial test: abdominal
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
- Differential Diagnosis ... ultrasound, Tests ... ; MRA; abdominal ... aldosterone) or IV ... with indwelling IV
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Differential Diagnosis ... • K sparing diuretics ... Inhibitors • Recent IV ... • SLE • Type IV ... potassium #high #nephrology
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