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diagnosis causes alkalosis endocrinology hyperkalemia metabolic hypokalemia hyponatremia insufficiency intercellularshift management potassium sodium acidosis adrenalmass benign cancer classification elevation epilepticus
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... ) stimulation test ... Low Cortisol Response ... insufficiency • Low
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 2) Confirmation ... Step 3) Differentiate ... checked in Step 2 ... - Low ACTH is
Benign Adrenal Mass - Differential Diagnosis Algorithm Hyperplasia - Often Bilateral • Congenital Adrenal Hyperplasia • ACTH
Benign Adrenal Mass ... - Differential ... Diagnosis Algorithm ... High DHEAS • Low ... Dexamethasone Suppression Test
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Serum Osmolarity 2) ... High Uric Acid → renal ... #nephrology #sodium
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Metabolic Alkalosis - Differential ... Diagnosis Algorithm ... Volume Depleted 2° ... Expanded 1° / 2° ... #nephrology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Alkalosis • ↑ beta-2 ... vomiting) • Low ... #nephrology #low
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Metabolic Alkalosis - Differential ... Diagnosis Algorithm ... Volume Depleted - 2° ... Expanded - 1° or 2° ... #Nephrology #Causes
Approach to Hypomagnesemia Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
] x 100 FEMg <2% ... Hypomagnesemia #algorithm ... #differential # ... diagnosis #causes #nephrology ... #magnesium #low
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - Differential ... Diagnosis Workup Algorithm ... mechanism 2) ... • Euvolemic (Low ... #nephrology #sodium
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Diagnosis Algorithm ... • ACEi/ARB • Adrenal ... nephropathy • Beta-2 ... IntercellularShift #Nephrology ... #Differential #
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