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diagnosis nephrology differential management hypokalemia potassium hypercalcemia low medications pharmacology rhabdomyolysis associated diuresis diuretics drugs emergencies endocrinology excretion hemeonc hyponatremia
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 ... Volume Overload → Loop ... diuretic IV Bisphosphonate ... Calcitonin Refractory Cases ... #Treatment #algorithm
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Syndrome • HTN, High ... Aldosterone: Malignant ... • HTN Absent: Loop ... and thiazide diuretics ... #causes #potassium
Treatment algorithm for malignancy-associated hypercalcemia • Aggressive IV hydration • IV Bisphosphonate +/- Calcitonin • Renal
Treatment algorithm ... hypercalcemia ... Volume overload: Loop ... diuretic • Lymphoma ... #algorithm #malignancy
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) ... • Malignant Hypertension ... #Causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... only if no clear cause ... Elimination (see Table ... (IV loop diuretic ... acetazolamide) - IV loop
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... urinary losses: • High ... ↑ Aldosterone: Malignant ... Alkalosis: Emesis, Diuretics
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... - Seizures - Malignant ... - Neuroleptic malignant ... per day until stable ... Loop diuretics for
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... contracted • Loop ... diuretics / Bartter's ... syndrome • Thiazide diuretics
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