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diagnosis management causes differential algorithm potassium medications nephrology pharmacology rhabdomyolysis symptoms antifungals coccidioides coccidioidomycosis comparison diuresis diuretics evaluation excretion hematology
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... blocks, QRS axis shift ... , asystole #hyperkalemia ... #potassium #high ... management #algorithm #treatment
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
Hyperkalemia Management ... • Reconsider treatment ... Intracellular K+ Shift ... Management #Algorithm #treatment ... #potassium #high
Thyrotoxic Periodic Paralysis - Illness Script • Epidemiology: Asian men age 20-30 with hyperthyroidism of any
hormone • Symptoms/signs ... Labs/lmaging: Hypokalemia ... - low TSH with high ... fT4 or high T3 ... • Treatment: Potassium
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
• LDH ↑ • Hyperkalemia ... Shift of extracellular ... oxidative injury Treatment ... Treatment of underlying ... per day until stable
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
Medications for the Treatment ... goals of acute treatment ... disturbances, shift ... , and Table 3 summarizes ... #Treatment
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 Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Shift of extracellular ... oxidative iniury Treatment ... per day until stable ... Dialysis for severe hyperkalemia ... Summary #causes #treatment
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
immature blasts and high ... WBC >100k, + lab signs ... organ damage • Treatment ... Spontaneous if high ... hydration - Hyperkalemia
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
with previously stable ... hypertension and signs ... disorders including hypokalemia ... renal bruit or signs ... Vasculitis • Endocrinologic
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
↑ T3 - Mild hypercalcemia ... ↑ AST/ALT • Treatment ... tenderness Treatment ... #differential #endocrinology ... #signs #symptoms
Evaluation and Management of Hypokalemia Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
Hypokalemia is ... search for warning signs ... warranting urgent treatment ... transcellular shifts ... Identification and treatment
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