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differential causes workup hypophosphatemia framework hypokalemia calcium hyperkalemia hyperphosphatemia hypocalcemia hypomagnesemia intercellularshift magnesium phosphorus potassium
Hypophosphatemia - Differential Diagnosis Algorithm • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use • Redistribution/
- Differential Diagnosis ... Algorithm • Decreased ... Redistribution/ Shift ... bone syndrome • Renal ... #nephrology #phosphate
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
- Differential Diagnosis ... Shift: • Alkalosis ... Losses Non-renal ... vomiting) • Low ... #Algorithm #nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
- Differential Diagnosis ... t-PA, heparin Acute ... Transcellular Shift ... CKD Increased Renal ... #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
- Differential Diagnosis ... Low Kidney Phosphate ... Transcellular Shift ... Refeeding Syndrome, Acute ... #Algorithm #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
- Differential Diagnosis ... paraproteinemia, acute ... Transcellular Shift ... FEPO4 ≥ 5% - Renal ... #nephrology
Hypocalcemia Workup - Differential Diagnosis Algorithm • Low Magnesium, High Magnesium - Functional Hypoparathyroidism • High
- Differential Diagnosis ... Algorithm • Low ... Hyperphosphatemia, Acute ... #Differential #Diagnosis ... #Algorithm #nephrology
Approach to Hypomagnesemia Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
intake, Gl loss, shift ... Hypomagnesemia #algorithm ... #differential #diagnosis ... #causes #nephrology ... #magnesium #low
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Intercellular Shift ... renal excretion ... , TTKG, distal flow ... Increased Urate, Phosphate ... IntercellularShift #Nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
- Differential Diagnosis ... Algorithm Decreased ... Transcellular shift ... aldosterone • Renal ... #Hypokalemia #Nephrology
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