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differential management syndrome acidosis diabetes diuresis diuretics elevation encephalopathy endocrinology excretion hyperkalemia hypomagnesemia hypophosphatemia insipidus k lactate lactic low magnesium
Hypophosphatemia - Differential Diagnosis Algorithm • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use • Redistribution/
- Differential Diagnosis ... Algorithm • Decreased ... bone syndrome • Renal ... #Algorithm #causes ... #nephrology #phosphate
Approach to Hypomagnesemia Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
magnesium into cells ... FEMg >4% = renal ... Hypomagnesemia #algorithm ... #differential #diagnosis ... #causes #nephrology
Short Stature - Differential Diagnosis Algorithm Normal Variant, Normal Puberty Onset (BA = CA) • Familial Short
- Differential Diagnosis ... Algorithm Normal ... Panhypopituitarism Treatment ... Celiac, IBD) • Renal ... #causes #pediatrics
Classification of Diabetes Insipidus Central or neurogenic diabetes insipidus: - Congenital - Structural malformations affecting the hypothalamus
Acquired - Primary renal ... uropathy, Metabolic causes ... Treatment is aimed ... #Types #Nephrology ... #Diagnosis #Differential
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... Management Summary Causes ... kidney tubular cells ... #Management #causes ... #treatment #nephrology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... e.g., uptake by cells ... perfusion - shock->treatments ... before beginning treatment ... #typeb #classification
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... only if no clear cause ... Calcium 2-3g IV Ca-gluconate ... Drives K+ into cells ... #potassium #nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Immunosuppressive agents, Renal ... narrowing on MRA/CTA ... the underlying cause ... • Treatment of ... with AEDs until cause
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... Kidney stones caused ... Tolvaptan) • Treatment ... Excretion #Diuresis #Nephrology ... #Pharmacology #
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Hypocomplementemia • Can cause ... cirrhosis: 3%-20% Renal ... Distal (Type I) renal ... Adenocarcinoma Treatment ... lubricants • Pharmacologic
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