13 results
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
of magnesium = (urine ... #algorithm #differential ... #diagnosis #causes ... #nephrology #magnesium ... #low
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
- Polyuria - Hypomagnesemia ... #Diagnosis #Low ... #Potassium #Table ... #Classification ... #Causes
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
alkalosis • Normal/low ... ketoacidosis • D-lactic ... the indicated causes ... #Algorithm #nephrology ... #differential #
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... • Diarrhea A urine ... diagnosis #Algorithm #differential ... #potassium #nephrology ... #low
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... osmotic diuresis, Potassium ... #Causes #differential ... #diagnosis #nephrology ... #magnesium #low
Causes of Polyuria - Differential Diagnosis
Excess Intake of Water:
 • Primary polydipsia (a.k.a. "psychogenic polydipsia")
 •
Causes of Polyuria ... - Differential ... • Central Dl (Low ... diseases, Hypoxic injury ... #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Management Summary Causes ... Weakness - Dark urine ... Monitor potassium ... #treatment #nephrology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Acidosis - Differential ... excretion (e.g., urine ... liver or renal injury ... LV failure - Low ... #typea #typeb #classification
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal or low ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... Supplement: • Potassium ... Syndrome #diagnosis #nephrology
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 • Vomiting: urine Na/Cl > 1.6, low urine
Na/Cl > 1.6, low ... correcting serum potassium ... continued in most cases ... hypokalemia #diagnosis #differential ... #algorithm #nephrology