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differential algorithm nephrology management potassium hypokalemia workup hypercalcemia signs symptoms anesthesia anesthesiology criticalcare intraoperative treatment classification intercellularshift low malignant metabolic
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... : • High baseline ... #Algorithm #endocrinology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Causes of High-anion ... Causes of High-anion ... Renal acidosis ... (with renal insufficiency ... #differential #diagnosis
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Adrenal Insufficiency ... Diagnosis Algorithm ... Hyperpigmented skin (due to high ... Hyponatremia, hyperkalemia ... Stimulation #StimTest #Endocrinology
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
The Diagnostic Approach ... to Hyperkalemia ... inhibitors Other causes ... transplant - SLE High ... insufficiency
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... Intracellular Shift ... - Metabolic acidosis ... insufficiency/Failure ... #causes #potassium
Causes of Hypercalcemia Parathyroid hormone–dependent Primary hyperparathyroidism Familial hypocalciuric hypercalcemia Lithium-associated Tertiary hyperparathyroidism Genetic disorders (e.g., multiple endocrine neoplasia type 1 or
Causes of Hypercalcemia ... Genetic disorders (e.g ... thyrotoxicosis, adrenal ... insufficiency ... #Diagnosis #Endocrinology
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 Hypercalcemia - Differential Diagnosis Algorithm Primary Hyperparathyroidism • Adenoma • Hyperplasia • MEN 1 and 2A Tertiary Hyperparathyroidism
Differential Diagnosis ... Renal Failure, Post-Renal ... Insufficiency ... #Differential #Diagnosis ... #Algorithm #Endocrinology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... Intracellular Shift ... - Metabolic acidosis ... insufficiency/Failure ... #causes #potassium
Hypokalemia Differential Diagnosis Algorithm Low intake • poor oral intake Renal loss • Medication • Hypomagnesemia •
Hypokalemia Differential ... Diagnosis Algorithm ... tubular acidosis ... Transcellular shift ... #Algorithm #Causes
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... unclear (often the case ... Stim test is 250 mcg ... Measure ACTH: - High ... Stimulation #Test #Endocrinology
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