76 results
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift ... • Refeeding syndrome ... Losses Non-renal ... vomiting) • Low ... Diagnosis #Algorithm #nephrology
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
Management of status ... summary on the management ... of status epilepticus ... Seizure #Algorithm #CriticalCare ... #Neurology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Algorithm Extra-renal ... Normal Acid-Base: Low ... loss (Diarrhea) Renal ... causes #potassium #low ... #nephrology
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
intake, Gl loss, shift ... cells FEMg >4% = renal ... magnesium loss if renal ... diagnosis #causes #nephrology ... #magnesium #low
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Transcellular Shift ... FEPO4 ≥ 5% - Renal ... • Normal or Low ... - Normal or Low ... Workup #phosphate #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
mOsm/kg - Implies renal ... mechanism 2) Volume Status ... • Euvolemic (Low ... , Cushing syndrome ... Workup #Algorithm #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
hyperaldosteronism • Low ... , NGT suction, Low ... hyperaldosteronism • High PRA: Renal ... Renin-secreting tumor • Low ... Diagnosis #Algorithm #nephrology
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
- 1° HPT - 1° Renal ... , TIO, Fanconi Syndrome ... Hypophosphatemia #phosphorus #low ... #differential #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Redistribution/ Shift ... ), Hungry bone syndrome ... • Renal losses ... Algorithm #causes #nephrology
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Differential Diagnosis Renal ... Familial: Bartter syndrome ... and Gitelman syndrome ... diagnosis #causes #nephrology ... #magnesium #low