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diagnosis differential nephrology hypokalemia potassium management treatment hypercalcemia hypomagnesemia magnesium anesthesia anesthesiology associated checklist crisis emergencies endocrinology hemeonc high hyperthermia
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Medications - Loop ... - Hypokalemia ... Differential #Diagnosis #Low ... Magnesium #Table #Classification ... #Causes #Workup
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... High Aldosterone: Malignant ... • HTN Absent: Loop ... and thiazide diuretics ... #causes #potassium
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... Clinicians should also look ... Post-hypercapnia • Diuretics ... Hyperaldosteronism: malignant
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 ... Calcitonin Refractory Cases
Hypokalemia Differential Diagnosis Algorithm Low intake • poor oral intake Renal loss • Medication • Hypomagnesemia •
Hypokalemia Differential ... Diagnosis Algorithm ... Low intake ... Hypomagnesemia • Osmotic diuresis ... #Causes #Classification
Causes of Hypomagnesemia - Differential Diagnosis Algorithm GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... Differential Diagnosis Algorithm ... Urine Mg > 10g • Loop ... Diuretics • Hypercalcemia-PTH ... Hypomagnesemia #Magnesium #Low
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 ... Hyperaldosteronism: malignant ... >20 mEq/24 h - Diuretics ... #nephrology #causes
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm GI Losses - Gastric • Vomiting • NG suction GI
Causes of Metabolic ... tubular transport • Diuretics ... (loop/thiazide) ... Aldosterone • Malignant ... #Causes
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... ↑ Aldosterone: Malignant ... consumption • Low ... Alkalosis: Emesis, Diuretics
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