15 results
Limping Child
#Diagnosis #Peds #Limping #Child #Differential #Algorithm #PEMSource
Limping Child # ... Diagnosis #Peds ... #Limping #Child ... #Differential #Algorithm ... #PEMSource
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia ... Diagnostic Algorithm ... #phosphorus #low ... #diagnosis #Algorithm ... #differential #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Hypophosphatemia ... Differential Diagnosis Algorithm ... Redistribution/ Shift ... DTomacruzMD #Hypophosphatemia ... #causes #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia ... Differential Diagnosis Algorithm ... Appropriately Low ... Transcellular Shift ... #nephrology #phosphorus
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... Transcellular Shift ... vomiting) • Low ... Transcellular shifts ... #nephrology #low
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Transcellular Shift ... • Normal or Low ... - Normal or Low ... Workup #phosphate #nephrology
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
Differential Diagnosis Algorithm ... • Low Magnesium ... Extravascular deposition: Hyperphosphatemia ... Differential #Diagnosis #Algorithm ... #nephrology #calcium
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Differential Diagnosis Algorithm ... filling of bucket (low ... (transcellular shift ... Differential #Diagnosis #Algorithm ... Causes #workup #nephrology
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY

RED FLAGS - In all cases there are specific
markers which
THE LIMPING OR NON-WEIGHT ... weight bearing, limping ... splenomegaly, abnormal neurology ... #NWB #Algorithm ... Pathway #Child #Peds
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
intake, Gl loss, shift ... Hypomagnesemia #algorithm ... diagnosis #causes #nephrology ... #magnesium #low