12 results
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Causes of Hypomagnesemia ... Renal Causes of ... pentamidine), Hypercalcemia ... #nephrology #magnesium ... #low
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
Approach to Hypomagnesemia ... of magnesium = (urine ... differential #diagnosis #causes ... #nephrology #magnesium ... #low
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
and hypomagnesemia ... Hypokalemia ... overdose) - Sodium ... differential #diagnosis #nephrology ... #Causes #hypomg
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... suggests extra-renal ... causes • Laxative ... differential #potassium #nephrology ... #low
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... volume-based algorithm Urine ... can be high or low ... : Hypovolemia, Hypervolemia ... #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
thiazide-sensitive sodium ... alkalosis • Normal or low ... Hypocalciuria (spot urine ... Syndrome #diagnosis #nephrology ... #management #pathophysiology
Causes of Polyuria - Differential Diagnosis
Excess Intake of Water:
 • Primary polydipsia (a.k.a. "psychogenic polydipsia")
 •
Causes of Polyuria ... • Central Dl (Low ... Nephrogenic DI (Renal ... Hereditary, Lithium, Hypercalcemia ... #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm

Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... nephron - TTKG > 7, Urine ... Creatinine • Chronic renal ... • NSAlDs #Hyperkalemia ... IntercellularShift #Nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
alkalosis • Normal/low ... Gitelman syndrome, Hypomagnesemia ... the indicated causes ... sodium is typically ... #Algorithm #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Decreased intake (rare cause in isolation)
GI loss - Urine loss
Causes of Hypokalemia ... isolation) GI loss - Urine ... aldosterone • Renal ... Liddle's syndrome #Hypokalemia ... #Nephrology #Differential