9 results
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
if renal function ... Hypomagnesemia #algorithm ... #differential # ... diagnosis #causes #nephrology ... #magnesium #low
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Losses Non-renal ... #nephrology #low ... #potassium
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Extra-renal Losses ... #causes #potassium ... #low #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
(K) & magnesium( ... suggests extra-renal ... #differential # ... potassium #nephrology ... #low
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
steatorrhea) • Renal ... osmotic diuresis, Potassium ... Hypomagnesemia #Causes #differential ... #diagnosis #nephrology ... #magnesium #low
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Hypochloremia - Differential ... Diagnosis Algorithm ... Decreased Intake: • Low ... #Pathophysiology ... #Nephrology #Chloride
Causes of Hypokalemia - Differential Diagnosis Algorithm
Decreased intake (rare cause in isolation)
GI loss - Urine loss
Hypokalemia - Differential ... Diagnosis Algorithm ... Gittelman's syndrome • Magnesium ... aldosterone • Renal ... #Hypokalemia #Nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal or low ... ratio 0.5%) Differential ... • Magnesium ... Syndrome #diagnosis #nephrology ... #management #pathophysiology
Causes of Hypokalemia
I. Decreased intake
   A. Starvation
   B. Clay ingestion
II. Redistribution into
infarction, head injury ... Renal 1. ... Magnesium deficiency ... #Hypokalemia #Differential ... #Diagnosis #Low