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diagnosis differential hypokalemia causes alkalosis metabolic management workup calcium cardiology chloride disorders epilepticus framework gitelman glomerular htn hypertension hypertensive hypocalcemia
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... creatinine) • Cell shift ... HCO3- • Low Urine ... #algorithm #diagnosis ... #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
leukemia Measure Urine ... Transcellular Shift ... • Normal or High ... • Normal or Low ... Workup #phosphate #nephrology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift ... • Refeeding syndrome ... vomiting) • Low ... #nephrology #low ... #potassium
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia ... Appropriately Low ... Transcellular Shift ... Inappropriately High ... #nephrology #phosphorus
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Differential Diagnosis Algorithm ... Urine Cl-: Vomiting ... Diuretics (late) • High ... Urine Cl-: Diuretics ... #nephrology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... • HTN, High Aldosterone ... Differential #Diagnosis #Algorithm ... #causes #potassium ... #low #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Differential Diagnosis Algorithm ... Urine Cl-: Vomiting ... Diuretics (late) • High ... Urine Cl-: Diuretics ... #Nephrology #Causes
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Differential Diagnosis Algorithm ... Hypertensive: • High ... Differential #Diagnosis #Algorithm ... #nephrology #causes ... #low #potassium
Hypocalcemia Workup - Differential Diagnosis Algorithm • Low Magnesium, High Magnesium - Functional Hypoparathyroidism • High
Differential Diagnosis Algorithm ... Extravascular deposition: Hyperphosphatemia ... metastases, Hungry bone syndrome ... Differential #Diagnosis #Algorithm ... #nephrology #calcium
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... A urine K/Cr ratio ... • Diarrhea A urine ... urinary losses: • High ... #nephrology #low
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