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Hyperkalemia Differential Diagnosis Algorithm

#Hyperkalemia #Differential #Diagnosis #Algorithm #PseudoHyperkalemia #Nephrology #Causes
Hyperkalemia Differential ... Diagnosis Algorithm #Hyperkalemia ... PseudoHyperkalemia #Nephrology ... #Causes
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Causes of Hyperkalemia ... Transcellular Shift #Hyperkalemia ... #Nephrology #Differential ... Diagnosis #Algorithm #Causes
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 • Tissue injury
 • Hemolysis
 • Rhabdomyolysis
 •
Causes of HyperKalemia ... dietary intake • Blood ... blockers - MCW Nephrology ... MCW_Nephrology #HyperKalemia ... Differential #Diagnosis #Causes
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Burns • Trauma/Crush ... injury • Blood ... Blood transfusion ... differential #diagnosis #causes ... potassium #high #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Causes of Hypokalemia ... is ruled out, causes ... of hypokalemia ... varunnephro #Hypokalemia ... #workup #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Burns • Trauma/Crush ... injury • Blood ... Blood transfusion ... differential #diagnosis #causes ... potassium #high #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Defining the cause ... of hypokalemia ... diagnosis #algorithm #causes ... #nephrology #potassium
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
wasting from other causes ... suggests extra-renal causes ... losses: • High Blood ... • Low/Normal Blood ... differential #potassium #nephrology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
proteinuria, RBC casts ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... if cause not identified ... #blood #urine
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... peaks 1-2h) • Blood ... LouLectures #Hyperkalemia ... management #potassium #nephrology