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differential high hyponatremia abdominal acidosis aniongap arb ckd classification ddxof euvolemic gastroenterology htn hypertension hypervolemic hypovolemic initiation intercellularshift k kdigo
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
Hyperkalemia: ... drugs - Moderate potassium ... - Review for causes ... of AKI - Correct ... e.g., diuretics, NSAIDs
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Creatinine • Chronic ... renal failure • AKI ... Aldosterone • ACEi ... #Algorithm #Causes
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
transfusion • HTN and edema ... diuretics • NSAIDs ... • ACE Inhibitors ... #causes #potassium ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
transfusion • HTN and edema ... diuretics • NSAIDs ... • ACE Inhibitors ... #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 ... #Algorithm #Causes
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
onset (acute vs. chronic ... symptoms (HA, nausea ... volume status (edema ... #EM #IM #Nephro ... #Differential #Algorithm
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Chronic progressive ... Potassium-sparing ... ACE-Is and ARBs ... #differential #diagnosis ... #causes #nephrology
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Nephritic syndrome • AKI ... Conn's syndrome • NSAlDs ... Hyperthyroidism • Hypercalcemia ... HTN #Secondary #Nephrology ... #Algorithm #Causes
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Diagnosis Framework ... • 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,
Hyperkalemia - Diagnosis ... Medications: K+, ACEi ... /ARBs, NSAIDs, β-blockers ... only if no clear cause ... #nephrology #K
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