46 results
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Malabsorption, Chronic diarrhea ... • Normal or Low ... - Normal or Low ... Diagnosis #Framework #Workup
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Normal Acid-Base: Low ... Gl tract loss (Diarrhea ... Ureterosigmoidoscopy • HTN, Low ... , Gitelman syndrom ... causes #potassium #low
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... - Gitelman syndrome ... - Hungry bones syndrome ... Differential #Diagnosis #Low ... Classification #Causes #Workup
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Causes of acute diarrhea ... Irritable bowel syndrome ... Malabsorption syndromes ... Irritable bowel syndrome ... management #algorithm #workup
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... testing negative and diarrhea ... Empiric therapy with probiotic ... malabsorption #Diarrhea ... #Workup #Management
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... Hypercalcemia Low ... PTHrP: - Low ... disease, Milk Alkali Syndrome ... disease, Viral Syndromes
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... Absorption: Chronic Diarrhea ... Shift: Refeeding Syndrome ... Tumor Genesis Syndrome ... nephrology #phosphorus #workup
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
Hypocalcemia Workup ... Algorithm • Low ... High Phosphate, Low ... metastases, Hungry bone syndrome ... #Hypocalcemia #Workup
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... volume loss - diarrhea ... • nephrotic syndrome ... Hypernatremia #Diagnosis #Workup
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
• Refeeding syndrome ... losses (NG suction, diarrhea ... vomiting) • Low ... Algorithm #nephrology #low