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diagnosis differential causes potassium hypokalemia nephrology hypercalcemia management treatment associated emergencies hemeonc high highcalcium hypomagnesemia hypomg magnesium oncologic oncology table
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
Treatment algorithm ... Dialysis with low ... Volume Overload → Loop ... diuretic IV Bisphosphonate ... #management #endocrinology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... High Aldosterone: Malignant ... secreting tumor, Primary ... • HTN Absent: Loop ... and thiazide diuretics
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Differential Diagnosis Algorithm ... starts by measuring urinary ... Clinicians should also look ... Post-hypercapnia • Diuretics ... Hyperaldosteronism: malignant
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary ... Medications - Loop ... - Hypokalemia ... Differential #Diagnosis #Low ... Magnesium #Table #Classification
Hypercalcemia - Differential Diagnosis Algorithm Primary Hyperparathyroidism • Adenoma • Hyperplasia • MEN 1 and 2A Tertiary Hyperparathyroidism
Primary Hyperparathyroidism ... Effects • Thiazide Diuretics ... /lsotretinoin Malignancy ... • Unregulated Conversion ... #Endocrinology
Treatment algorithm for malignancy-associated hypercalcemia • Aggressive IV hydration • IV Bisphosphonate +/- Calcitonin • Renal
Treatment algorithm ... hypercalcemia ... : Dalysis with low ... Volume overload: Loop ... diuretic • Lymphoma
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... R - Primary aldosteronism ... Hyperaldosteronism: malignant ... >20 mEq/24 h - Diuretics
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... mEq/g suggests urinary ... ↑ Aldosterone: Malignant ... consumption • Low ... Alkalosis: Emesis, Diuretics
Causes of Hyperkalemia l. Pseudohyperkalemia A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis B.
Diabetes, diabetic ... Primary adrenal ... : amyloidosis, malignancy ... Drug-associated: heparin, low-molecular-weight ... High #Potassium #Classification
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
acid, high LDH, low ... Lower-extremity weakness, urinary ... plasmapheresis Hypercalcemia ... of malignancy: ... Adjuncts: loop diuretics
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