214 results
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift ... • Refeeding syndrome ... Medications Renal ... Losses Non-renal ... Diagnosis #Algorithm #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Redistribution/ Shift ... ), Hungry bone syndrome ... • Renal losses ... Algorithm #causes #nephrology
Hypokalemia Differential Diagnosis Algorithm

Low intake 
• poor oral intake 

Renal loss 
• Medication 
• Hypomagnesemia 
•
oral intake Renal ... Nonreabsorbable anions • Renal ... • Gitelman's syndrome ... • Bartter's syndrome ... Transcellular shift
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Rhabdomyolysis, Tumor lysis syndrome ... Transcellular Shift ... CKD Increased Renal ... Workup #phosphate #nephrology
Cardiorenal Syndrome (CRS) Types
 • Type 1 - Acute CRS: Alteration of renal perfusion is the
Cardiorenal Syndrome ... Alteration of renal ... hemodialysis and fluids shifts ... #Cardiorenal #Syndrome ... Types #cardiology #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Algorithm Extra-renal ... loss (Diarrhea) Renal ... SAME, Cushing Syndrome ... , Gitelman syndrom ... potassium #low #nephrology
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
Hypokalemia - Shift ... Extrarenal Laxatives - Renal ... pump inhibitor - Renal ... Fanconi syndrome ... differential #diagnosis #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Transcellular Shift ... Tumor genesis syndrome ... FEPO4 ≥ 5% - Renal ... FGF-23: Fanconi syndrome ... Workup #phosphate #nephrology
Simultagnosia on Physical Exam (Balint Syndrome)

The patient can recognize objects one at a time but cannot
Physical Exam (Balint Syndrome ... Simultagnosia #Balint #Syndrome ... #PhysicalExam # ... clinical #video #neurology ... #ophthalmology
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
intake, Gl loss, shift ... cells FEMg >4% = renal ... magnesium loss if renal ... diagnosis #causes #nephrology