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diagnosis causes algorithm management nephrology clinical cardiology pulmonary table radiology hematology neurology dermatology mnemonic pediatrics ddxof workup infections peds endocrinology
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Refeeding Syndrome ... abnormalities before refeeding ... • Slow initial feeding ... abnormalities persist #Refeeding ... Syndrome #Nutrition #Differential
Causes of Hypokalemia - Differential Diagnosis Algorithm Increased Loss - Increased GI Loss - Increased Urinary
Hypokalemia - Differential ... Beta-Agonist - Refeeding ... #Hypokalemia #Differential
Hypophosphatemia - Differential Diagnosis Algorithm • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use • Redistribution/
Hypophosphatemia - Differential ... with depletion: Refeeding ... Hypophosphatemia #Differential
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... paralysis • Refeeding ... #Hypokalemia #Differential
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
Hypophosphatemia - Differential ... Recovery From DKA • Refeeding ... #LowPhosphate #Differential
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia - Differential ... Transcellular Shift: Refeeding ... Hypophosphatemia #Differential
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... Transcellular Shift: Refeeding ... Hypophosphatemia #Differential
Causes of Hypomagnesemia Redistribution: - IV glucose - Correction of diabetic ketoacidosis - IV hyperalimentation - Refeeding
hyperalimentation - Refeeding ... Causes #diagnosis #differential
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
hyperalimentation, Refeeding ... Hypomagnesemia #Causes #differential
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Hypokalemia - Differential ... alkalemia • Refeeding ... Hypokalemia #Nephrology #Differential
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