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differential causes algorithm hyperkalemia hyponatremia management acute intercellularshift kidneyinjury treatment gitelman hyperreflexia hyporeflexia hypotonic k pathophysiology physiologic potassium simplified sodium
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
- Differential Diagnosis ... Hemolysis • Rhabdomyolysis ... • Tumor lysis syndrome ... Elimination: • AKI ... blockers - MCW Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Algorithm Syndrome ... Malignancy True hypovolemia ... • Reduced GFR, AKI ... Uosm < 100 mmol/kg ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Algorithm Syndrome ... Malignancy True hypovolemia ... • Reduced GFR, AKI ... Uosm < 100 mmol/kg ... #Hyponatremia #Nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Differential Diagnosis ... declines > ALT) • AKI ... + myoglobin AKI ... per day until stable ... causes #treatment #nephrology
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
require urgent nephrology ... common culprits: Hypovolemia ... , Low effective ... you confirmed diagnosis ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Present (Uosm ≥100): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... #differential #diagnosis ... #table #sodium ... #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... - Differential Diagnosis ... Impaired forward flow ... inhibitors, hepatorenal syndrome ... #nephrology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
polyneuropathy (e.g ... Guillain-Barré syndrome ... Hyperreflexia: • Hypocalcemia ... #differential #diagnosis ... #table #neurology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... - Differential Diagnosis ... EABV (e.g., CHF ... renal failure • AKI ... IntercellularShift #Nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... , RTA Type IV, AI ... Elimination (see Table ... acidosis) • Low ... Treatment #potassium #nephrology
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