21 results
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Medications - Loop ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification ... #Causes #Workup
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... Malabsorption RENAL ... Urine Mg > 10g • Loop ... DiureticsHypercalcemia-PTH ... Hypomagnesemia #Magnesium #Low
Treatment algorithm for malignancy-associated hypercalcemia.
Hypercalcemia
 - Renal Failure → Dialysis with low Ca++ bath
Aggressive IV hydration
Renal Failure → ... Dialysis with low ... Volume Overload → Loop ... diuretic IV Bisphosphonate ... Calcitonin Refractory Cases
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... steatorrhea) • Renal ... disease • Drugs: Loop ... Hyperparathyroidism, Hypercalcemic ... nephrology #magnesium #low
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Extra-renal Losses ... loss (Diarrhea) Renal ... • HTN Absent: Loop ... and thiazide diuretics ... #causes #potassium
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
GI Losses - Gastric
 • Vomiting
 • NG suction
GI
Causes of Metabolic ... Chloridorrhea Renal ... tubular transport • Diuretics ... (loop/thiazide) ... #Causes
Hypokalemia Differential Diagnosis Algorithm

Low intake 
• poor oral intake 

Renal loss 
• Medication 
• Hypomagnesemia 
•
Differential Diagnosis Algorithm ... Low intake ... oral intake Renal ... Hypomagnesemia • Osmotic diuresis ... #Causes #Classification
Treatment algorithm for malignancy-associated hypercalcemia
 • Aggressive IV hydration
 • IV Bisphosphonate +/- Calcitonin
 • Renal
Treatment algorithm ... Calcitonin • Renal ... : Dalysis with low ... Volume overload: Loop ... diuretic • Lymphoma
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Urinary Losses - Diuretics ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification ... #Causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
only if no clear cause ... Elimination (see Table ... acidosis) • Low ... (IV loop diuretic ... acetazolamide) - IV loop