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differential management anesthesia anesthesiology intraoperative nephrology hypercalcemia hypokalemia potassium adrenal calcium cardiac cardiology emesis evaluation hematology hyperthermia hyperthyroidism insufficiency intercellularshift
Hypercalcemia Workup and Differential Diagnosis Framework 1) Determine whether PTH-dependent 2) Assess for other hormonal causes 3) Assess for
Hypercalcemia Workup ... and Differential Diagnosis ... other hormonal causes ... #Diagnosis #algorithm ... #endocrinology
Causes of Hypokalemia - Differential Diagnosis Algorithm Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Causes of Hypokalemia ... Algorithm Once ... (transcellular shift ... #Algorithm #Causes ... #workup #nephrology
Emergency Management of Hyperkalemia in Adults Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach •
mmol/L - Consider cause ... clinical scenario, ECG ... Gluconate IV Shift ... Prevention - Consider cause ... #management #algorithm
Causes of Hypercalcemia - Differential Diagnosis Algorithm • Primary Hyperparathyroidism • Possible Familial Hypocalciuric Hypercalcemia
Causes of Hypercalcemia ... Algorithm • Primary ... Granulomatous Disorders (eg ... #Algorithm #Causes ... #endocrinology
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... Intracellular Shift ... #Diagnosis #Causes ... #Workup #Nephrology
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Differential Diagnosis ... Algorithm Elevated ... PTH (High or normal ... #Algorithm #causes ... #endocrinology
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
potassium and ECG ... blocks, QRS axis shift ... #potassium #high ... #diagnosis #management ... #algorithm #treatment
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... PTH - Frankly high ... #workup #differential ... #diagnosis #endocrinology
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
Algorithm • Treat ... the cause & optimize ... • Reconsider treatment ... Intracellular K+ Shift ... #high
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
- Differential Diagnosis ... Shift • Recovery ... Alkalosis • Hypokalemia ... #Algorithm #endocrinology ... #causes
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