15 results
diagnosis differential algorithm causes hypokalemia management hypophosphatemia metabolic chloride diuresis diuretics excretion framework gitelman hyperkalemia hypernatremia hypertension hypomagnesemia hyponatremia hypotonic
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift: • Alkalosis ... • Refeeding syndrome ... Losses Non-renal ... Diagnosis #Algorithm #nephrology ... #low #potassium
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... paraproteinemia, acute ... resp. alkalosis ... FEPO4 ≥ 5% - Renal ... #phosphate #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... mOsm/kg - Implies renal ... • Euvolemic (Low ... #Algorithm #nephrology ... #sodium
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... suggests extra-renal ... consumption • Low ... - Metabolic Alkalosis ... #nephrology #low
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... , Acute Respiratory ... Alkalosis, Tumor ... Diagnosis #Algorithm #nephrology ... #phosphorus #workup
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
• Normal/low ... , Gitelman syndrome ... the excretion of sodium ... and potassium acid ... urine #Algorithm #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
postchronic hypercapnia (acute ... diuretics after renal ... generally indicates a renal ... other • Severe potassium ... Diagnosis #Causes #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Sodium loss (diuretics ... can be high or low ... Cirrhosis, Nephrotic syndrome ... differential #diagnosis #table ... #sodium #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... • Normal or low ... potassium wasting ... , Renal tubular ... #diagnosis #nephrology
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
after starvation, Acute ... steatorrhea) • Renal ... osmotic diuresis, Potassium ... differential #diagnosis #nephrology ... #magnesium #low
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