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differential causes algorithm management nephrology symptoms workup anesthesia anesthesiology cardiology checklist hematology hypocalcemia hypokalemia lowcalcium treatment adrenalmass alkalosis autoimmune blood
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... and ECG changes ... blocks, QRS axis shift ... #potassium #high ... #diagnosis #management
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
patients with hypokalemia ... creatinine) • Cell shift ... #hypokalemia ... #urine #potassium ... differential #algorithm #diagnosis
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... phlebotomy High ... Intracellular Shift ... - Tumor lysis syndrome ... #high #nephrology
Causes of Metabolic Alkalosis - Differential Diagnosis Chloride depletion syndromes • Gastrointestinal losses -
- Differential Diagnosis ... chloridorrhea - High-volume ... Chloruretic drugs (eg ... • Severe potassium ... #Differential #Diagnosis
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... phlebotomy High ... Intracellular Shift ... - Tumor lysis syndrome ... #high #nephrology
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 ... hypocalciuric hypercalcemia ... Genetic disorders (e.g ... #Differential #Diagnosis ... #Endocrinology
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 Malignant Adrenal Mass - Differential Diagnosis Algorithm Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Releasing Carcinoma (e.g ... Other Source (e.g ... Polycystic Ovarian Syndrome ... Hypertension +/- Hypokalemia ... #Algorithm #Endocrinology
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate LOW PHOSPHATE - Low/NormaI PTH
- Differential Diagnosis ... D Deficiency (e.g ... Phenytoin, Nephrotic Syndrome ... Hypoparathyroidism (e.g ... Algorithm #Phosphate #endocrinology
Pseudohyperkalemia vs Reverse Hyperkalemia Pseudohyperkalemia and reverse pseudohyperkalemia are both conditions where potassium levels appear falsely elevated. Pseudohyperkalemia: This
especially extreme, e.g ... • No clinical signs ... • ECG findings ... no changes in ECG ... #Diagnosis
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... • Order a STAT EKG ... stabilize heart if EKG ... minutes-hour) -Shift ... #high
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