35 results
Refeeding Syndrome: Pathogenesis and clinical findings

Patients at Risk of Refeeding Syndrome:
 - Little or no nutritional
Refeeding Syndrome ... Syndrome: - Little ... Metabolic Acidosis • Shift ... #pathophysiology ... #symptoms #signs
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Refeeding Syndrome ... Electrolyte/fluid shifts ... • These shifts ... hyperparathyroidism Treatment ... Differential #Diagnosis #Pathophysiology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift ... paralysis • Refeeding ... syndrome • Thyrotoxicosis ... Transcellular shifts ... Diagnosis #Algorithm #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
Transcellular Shift ... Beta-Agonist - Refeeding ... Syndrome #Hypokalemia ... potassium #low #pathophysiology
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Redistribution/ Shift ... with depletion: Refeeding ... ), Hungry bone syndrome ... Algorithm #causes #nephrology
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Radius & Ulnar Fractures ... 4-6%), Humeral Shaft ... Fractures • Extension ... adduction) OK Sign ... UpperExtremities #diagnosis #neurology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Transcellular Shift ... : Refeeding Syndrome ... Tumor Genesis Syndrome ... FGF23: Fanconi Syndrome ... Diagnosis #Algorithm #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Transcellular Shift ... : Refeeding, Glycolysis ... Tumor genesis syndrome ... FGF-23: Fanconi syndrome ... Workup #phosphate #nephrology
Prader-Willi Syndrome: Pathogenesis and clinical findings
 • Maternal uniparental disomy: inheriting 2 copies of maternal chromosome
Prader-Willi Syndrome ... =>Prader-Willi Syndrome ... Signs/Symptoms ... Incr Skeletal fractures ... #genetics #pathophysiology
Fat Embolism Syndrome
Trauma to the long bone or pelvis accounts for —9096 of cases. The diagnosis
Fat Embolism Syndrome ... stabilization of fractures ... Pathophysiology ... Fat #Embolism #Syndrome ... #Diagnosis #Signs