20 results
Retinal Detachment on Ocular POCUS
61yo male with painless visual loss right eye.  Ocular POCUS reveals...?
Great
Retinal Detachment ... on Ocular POCUS ... Ocular POCUS reveals ... Great POCUS case ... #Detachment #Ocular
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential ... Intracellular Shift ... Renal artery stenosis ... Algorithm #Diagnosis #Causes ... #Workup #Nephrology
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
associated with hypokalemia ... hypomagnesemia Hypokalemia ... - Shift from extracellular ... differential #diagnosis #nephrology ... #Causes #hypomg
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... • IV Fluids Shift ... (if preserved renal ... peaks 1-2h) • Blood ... management #potassium #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Crush injury • Blood ... Intracellular Shift ... Blood transfusion ... differential #diagnosis #causes ... potassium #high #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Crush injury • Blood ... Intracellular Shift ... Blood transfusion ... differential #diagnosis #causes ... potassium #high #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
suggests extra-renal ... causes • Laxative ... losses: • High Blood ... • Low/Normal Blood ... differential #potassium #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Decreased intake (rare cause in isolation)
GI loss - Urine loss
Causes of Hypokalemia ... Decreased intake (rare cause ... Transcellular shift ... aldosterone • Renal ... #Nephrology #Differential
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... Transcellular Shifts ... Villous adenoma Renal ... #Causes #differential ... #diagnosis #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Management Summary Causes ... UA positive for blood ... Shift of extracellular ... Diagnosis #Management #causes ... #treatment #nephrology