106 results
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... Medications Renal ... Losses Non-renal ... vomiting) • Low K intake ... #nephrology #low
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... polydipsia, Low solute intake ... , Renal insufficiency ... #differential #algorithm ... #causes #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... mOsm/kg - Implies renal ... Euvolemic (Low H2O intake ... , Ingestion Renal ... #nephrology #sodium
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Extra-renal Losses ... Acid-Base: Low intake ... loss (Diarrhea) Renal ... potassium #low #nephrology
Hypokalemia Differential Diagnosis Algorithm

Low intake 
• poor oral intake 

Renal loss 
• Medication 
• Hypomagnesemia 
•
Differential Diagnosis Algorithm ... Low intake ... • poor oral intake ... Renal loss ... Nonreabsorbable anions • Renal
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Differential Diagnosis Algorithm ... • Decreased intake ... bone syndrome • Renal ... Differential #Diagnosis #Algorithm ... #causes #nephrology
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
FEMg <2% = poor intake ... cells FEMg >4% = renal ... magnesium loss if renal ... Hypomagnesemia #algorithm ... diagnosis #causes #nephrology
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Differential Diagnosis Algorithm ... • Increased Intake ... #Hyperkalemia #Nephrology ... Differential #Diagnosis #Algorithm
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Na <20: Extra-renal ... Urine Na >30: Renal ... Hypothyroidism, Low solute intake ... #Hyponatremia #algorithm ... #sodium #low #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Differential Diagnosis Algorithm ... suction, Low Cl intake ... hyperaldosteronism • High PRA: Renal ... Differential #Diagnosis #Algorithm ... #nephrology