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diagnosis differential high hyperkalemia hypokalemia treatment algorithm low rhabdomyolysis diuresis diuretics encephalopathy excretion gitelman hypermagnesemia hypomagnesemia k medications neurology pathophysiology
Hypermagnesemia - Etiologies by Mechanism Renal Failure Excessive Mg Administration - Massive PO intake
by Mechanism Renal ... intake - Magnesium ... - Tumor lysis syndrome ... #Table #Causes ... #Management
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... (K) & magnesium( ... suggests extra-renal ... causes • Laxative ... #nephrology #low
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... Shift of extracellular ... Monitor potassium ... per day until stable ... #Summary #causes
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... steatorrhea) • Renal ... osmotic diuresis, Potassium ... differential #diagnosis #nephrology ... #magnesium #low
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Intracellular Shift ... - Tumor lysis syndrome ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Framework and Management ... Summary Causes ... Shift of extracellular ... Monitor potassium ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Intracellular Shift ... - Tumor lysis syndrome ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Causes of Hypokalemia ... Transcellular shift ... • Magnesium depletion ... aldosterone • Renal ... #Hypokalemia #Nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Agents Regulating Renal ... irrigation • Management ... Kidney stones caused ... Excretion #Diuresis #Nephrology ... #Medications #Table
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
potassium wasting ... , Renal tubular ... • Magnesium ... #diagnosis #nephrology ... #management #pathophysiology
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