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diagnosis causes algorithm hyperkalemia phosphate treatment workup framework high hypokalemia low rhabdomyolysis syndrome balance criticalcare diuresis fluid gitelman hyperphosphatemia hypomagnesemia
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Hyperkalemia • Hyperphosphatemia ... Hyperuricemia • Hyponatremia ... Shift of extracellular ... Monitor potassium ... causes #treatment #nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
- Differential ... Transcellular Shift ... Kidney Disease: • AKI ... CKD Increased Renal ... Workup #phosphate #nephrology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... Transcellular Shift ... Losses Non-renal ... Diagnosis #Algorithm #nephrology ... #low #potassium
Hypophosphatemia - Differential Diagnosis Algorithm • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use • Redistribution/
Hypophosphatemia ... - Differential ... Redistribution/ Shift ... bone syndrome • Renal ... Algorithm #causes #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
- Differential ... Transcellular Shift ... FEPO4 ≥ 5% - Renal ... #Differential # ... Workup #phosphate #nephrology
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
minutes) Decrease potassium ... • IV Fluids Shift ... (if preserved renal ... #Hyperkalemia #management ... #potassium #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia ... - Differential ... Transcellular Shift ... Hyperparathyroidism, TKI ... Diagnosis #Algorithm #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... GI losses • Renal ... • Reduced GFR, AKI ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential ... GI losses • Renal ... • Reduced GFR, AKI ... #Nephrology #Differential
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
≥100): SIADH, Renal ... deficiency, Post-AKI ... Losses (AKI, Post-AKI ... #differential # ... table #sodium #nephrology
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