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diagnosis differential algorithm hyperkalemia hypokalemia high neurology medications pharmacology low magnesium rheumatology barre cardiology guillain hypermagnesemia hypomagnesemia hyponatremia rhabdomyolysis sodium
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift ... • Refeeding syndrome ... Losses Non-renal ... Diagnosis #Algorithm #nephrology ... #low #potassium
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... • IV Fluids Shift ... (if preserved renal ... #Hyperkalemia #management ... #potassium #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... Shift of extracellular ... Monitor potassium ... #Summary #causes ... #treatment
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Algorithm Extra-renal ... loss (Diarrhea) Renal ... Diagnosis #Algorithm #causes ... #potassium #low ... #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Defining the cause ... gastrointestinal K loss • Renal ... hypokalemia • Renal ... #nephrology #potassium
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Summary Causes ... Shift of extracellular ... Monitor potassium ... #causes #treatment ... #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use • Redistribution/
Redistribution/ Shift ... ), Hungry bone syndrome ... • Renal losses ... Diagnosis #Algorithm #causes ... #nephrology #phosphate
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Intracellular Shift ... - Tumor lysis syndrome ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Pharmacological Treatment of Hepatorenal Syndrome (HRS) Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment ... of Hepatorenal Syndrome ... pressure incr renal ... #HepatoRenal #Syndrome ... #Nephrology #Management
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... wasting from other causes ... suggests extra-renal ... causes • Laxative ... #nephrology #low
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