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diagnosis differential causes management nephrology classification endocrinology potassium treatment alkalosis associated chloride ckd emergencies hemeonc high highcalcium hyperkalemia hypertension hypokalemia
Hypercalcemia - Differential Diagnosis Algorithm Primary Hyperparathyroidism • Adenoma • Hyperplasia • MEN 1 and 2A Tertiary Hyperparathyroidism
Differential Diagnosis Algorithm ... Primary Hyperparathyroidism ... Effects • Thiazide Diuretics ... /lsotretinoin Malignancy ... • Unregulated Conversion
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
Treatment algorithm ... for malignancy-associated ... Dialysis with low ... Volume Overload → Loop ... diuretic IV Bisphosphonate
Treatment algorithm for malignancy-associated hypercalcemia • Aggressive IV hydration • IV Bisphosphonate +/- Calcitonin • Renal
Treatment algorithm ... hypercalcemia ... : Dalysis with low ... Volume overload: Loop ... diuretic • Lymphoma
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary ... Medications - Loop ... abnormalities - Hypercalcemia ... Differential #Diagnosis #Low ... #Magnesium #Table
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... High Aldosterone: Malignant ... secreting tumor, Primary ... • HTN Absent: Loop ... and thiazide diuretics
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... water intake (Primary ... polydipsia), Low ... differential #diagnosis #table
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis - Urinary ... Chloride Algorithm ... Remote use of loop ... or thiazide diuretics ... alkalosis • Normal/low
Causes of Hyperkalemia l. Pseudohyperkalemia A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis B.
the epithelial sodium ... Diabetes, diabetic ... Primary adrenal ... : amyloidosis, malignancy ... Drug-associated: heparin, low-molecular-weight
Algorithm for Diagnosis and Management of Resistant Hypertension in CKD Pseudoresistant Hypertension - Reduce barriers to adherence:
Algorithm for Diagnosis ... Modifications • Low ... sodium diet mg/ ... Screen for primary ... Add loop diuretic
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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