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diagnosis management nephrology differential hypercalcemia potassium hypokalemia medications pharmacology rhabdomyolysis associated diuresis diuretics drugs emergencies endocrinology excretion hemeonc k low
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
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 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
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
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
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
per day until stable ... Loop diuretics for ... Dialysis for severe hyperkalemia ... Management #Summary #causes ... #treatment
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
+2Cl- Symport (Loop ... Hyponatremia • Hypercalcemia ... Kidney stones caused ... Tolvaptan) • Treatment ... #Medications #Table
Pharmacologic Options for Hypercalcemia Associated with Cancer Rehydration with NS followed by loop diuretics • IV normal
NS followed by loop ... diuretics • IV ... Inhibits vitamin D conversion ... management #drugs #treatment ... #pharmacology #table
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
Treat underlying cause ... plasmapheresis Hypercalcemia ... of malignancy: ... → no immediate treatment ... Adjuncts: loop diuretics
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