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diagnosis differential high hyponatremia abdominal acei arb ckd ddxof euvolemic gastroenterology htn hypertension hypervolemic hypovolemic initiation intercellularshift k kdigo kidneydisease
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
transfusion • HTN and edema ... diuretics • NSAIDs ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Causes of Chronic ... eosinophiluria) • Drugs (NSAlDs ... Hyperoxaluria • Hypercalcemia ... KidneyDisease #Nephrology ... #Causes
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
transfusion • HTN and edema ... diuretics • NSAIDs ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
onset (acute vs. chronic ... volume status (edema ... history #Diagnosis #EM ... #IM #Nephro #Hyponatremia ... #Differential #Algorithm
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Creatinine • Chronic ... renal failure • AKI ... antagonism • NSAlDs ... IntercellularShift #Nephrology
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Differential Diagnosis Algorithm ... Nephritic syndrome • AKI ... Conn's syndrome • NSAlDs ... Hyperthyroidism • Hypercalcemia ... HTN #Secondary #Nephrology
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
ARB Initiation Hyperkalemia ... drugs - Moderate potassium ... - Review for causes ... of AKI - Correct ... e.g., diuretics, NSAIDs
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... • Jaundice • Edema ... Cardiopulmonary disease/AMI ... Gastritis: H. pylori/NSAIDs ... porphyria • Hypercalcemia
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
K+, ACEi/ARBs, NSAIDs ... , RTA Type IV, AI ... caution in HTN & edema ... Management #Treatment #potassium ... #nephrology #K
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
polydipsia • Hypervolemia ... Nephrotic Syndrome, Chronic ... MH/CCF/CWRU EM ... #diagnosis #causes ... #nephrology #sodium
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