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diagnosis differential hyperkalemia management rhabdomyolysis algorithm diuresis diuretics excretion hyperreflexia hyponatremia hyporeflexia hypotonic low medications neurology pharmacology physiologic renal sodium
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
Causes of HyperKalemia ... : • Tissue injury ... • Tumor lysis syndrome ... glycosides • High ... blockers - MCW Nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... wasting from other causes ... suggests extra-renal causes ... urinary losses: • High ... #nephrology #low
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Trauma/Crush injury ... - Tumor lysis syndrome ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Acute spinal cord injury ... Hyperreflexia: • Hypocalcemia ... differential #diagnosis #table ... #neurology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Trauma/Crush injury ... - Tumor lysis syndrome ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Monitor potassium ... per day until stable ... Diagnosis #Management #causes ... #treatment #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... , rhabdo/crush injury ... only if no clear cause ... Elimination (see Table ... #potassium #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
, Compartment syndrome ... Monitor potassium ... Dialysis for severe hyperkalemia ... Management #Summary #causes ... #treatment
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine Na+K ... diuresis can be high ... Cirrhosis, Nephrotic syndrome ... differential #diagnosis #table ... #sodium #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Loop Diuretics; High-Ceiling ... Kidney stones caused ... Tolvaptan) • Treatment ... Excretion #Diuresis #Nephrology ... #Medications #Table
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