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differential hyperkalemia hypokalemia low algorithm treatment diuretics excretion gitelman hypermagnesemia hypomagnesemia k medications pathophysiology pharmacology rhabdomyolysis
Hypermagnesemia - Etiologies by Mechanism Renal Failure Excessive Mg Administration - Massive PO intake
by Mechanism Renal ... lysis syndrome ... #High #Magnesium ... #Table #Causes ... #Management
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
• HTN, High Aldosterone ... Renin secreting tumor ... #Algorithm #causes ... #potassium #low ... #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
magnesium(Mg) The ... suggests extra-renal ... urinary losses: • High ... Renin secreting tumor ... #nephrology #low
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... steatorrhea) • Renal ... , Potassium depletion ... #differential #diagnosis ... #nephrology #magnesium
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• K sparing diuretics ... Transfusion reaction - Tumor ... lysis syndrome ... #causes #potassium ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• K sparing diuretics ... Transfusion reaction - Tumor ... lysis syndrome ... #causes #potassium ... #high #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Diagnosis of ... irrigation • Management ... ; High-Ceiling Diuretics ... Kidney stones caused ... #Diuresis #Nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... only if no clear cause ... Elimination (see Table ... IV loop diuretic ... #potassium #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Dermatomyositis Clinical ... Monitor potassium ... Loop diuretics for ... #Management #causes ... #treatment #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
tubule (DCT) Clinical ... , Renal tubular ... • Magnesium ... #diagnosis #nephrology ... #management #pathophysiology
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