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diagnosis differential hypokalemia low potassium treatment endocrinology hyponatremia hypophosphatemia anesthesia anesthesiology associated checklist crisis crrt emergencies encephalopathy framework hemeonc hypercalcemia
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Transcellular Shift ... losses (NG suction, diarrhea ... #nephrology #low
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
- RTA - Diarrhea ... Intracellular Shift ... Renal artery stenosis ... #Diagnosis #Causes ... #Workup #Nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... (transcellular shift ... #Causes #workup ... #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
Transcellular Shift ... Alkalosis • Hypokalemia ... • Small bowel diarrhea ... Increased Excretion - Renal ... endocrinology #causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... losses, Vomiting, Diarrhea ... failure Hypervolemia ... #Causes #nephrology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... Extra-renal Losses ... Gl tract loss (Diarrhea ... #causes #potassium ... #low #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Malabsorption, Chronic diarrhea ... Transcellular Shift ... FEPO4 ≥ 5% - Renal ... #phosphate #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Causes of Hypokalemia ... <20mmol/d • Diarrhea ... Transcellular shift ... aldosterone • Renal ... #Nephrology #Differential
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... suggests extra-renal ... causes • Laxative ... use • Diarrhea ... differential #potassium #nephrology
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... Intercellular Shift ... - Appropriate renal ... IntercellularShift #Nephrology ... #Causes
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