54 results
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift ... Alkalosis • ↑ beta-2 ... Medications Renal ... Losses Non-renal ... #nephrology #low
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... - Management Seizure ... between them PEDS ... #treatment #algorithm ... #neurology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Intracellular Shift ... Renal artery stenosis ... #Diagnosis #Causes ... #Workup #Nephrology
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
] x 100 FEMg <2% ... intake, Gl loss, shift ... Hypomagnesemia #algorithm ... differential #diagnosis #causes ... #nephrology #magnesium
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Serum Osmolarity 2) ... Osmolarity 3) Urine Sodium ... High Uric Acid → renal ... #nephrology #sodium
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Repeat the sodium ... Step 2. ... Assess volume status ... Diagnosis #Workup #Algorithm ... #Nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Differential Diagnosis Algorithm ... (low intake) 2. ... (transcellular shift ... Differential #Diagnosis #Algorithm ... #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... mOsm/kg - Implies renal ... mechanism 2) ... Volume Status ... #nephrology #sodium
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Differential Diagnosis Algorithm ... Redistribution/ Shift ... bone syndrome • Renal ... Differential #Diagnosis #Algorithm ... #causes #nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
• IV Fluids Shift ... 90 minutes) • Sodium ... (if preserved renal ... #Hyperkalemia #management ... #potassium #nephrology