30 results
diagnosis differential hyperkalemia management causes hypokalemia hypophosphatemia low kidney medications pharmacology phosphate workup acidosis acuteinterstitialnephritis acutetubulointerstitialnephritis aki allergicinterstitialnephritis aniongap cancer
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift ... Medications Renal ... Losses Non-renal ... #nephrology #low ... #potassium
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic algorithm ... • Acute renal ... Normal, Renin High ... hypoplasia Aldosterone high ... #nephrology #potassium
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... minutes) Decrease potassium ... • IV Fluids Shift ... (if preserved renal ... #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use • Redistribution/
Differential Diagnosis Algorithm ... Redistribution/ Shift ... into cells - Acute ... bone syndrome • Renal ... #causes #nephrology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Extra-renal Losses ... loss (Diarrhea) Renal ... Syndrome • HTN, High ... #causes #potassium ... #low #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... the basis of the potassium-to-creatinine ... creatinine) • Cell shift ... #differential #algorithm ... #diagnosis #nephrology
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
Kidney Stones Acute ... Surgical Rx: • ACUTE ... ALL patients - High ... Monitoring for extra-renal ... Management #Pediatrics #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... • Recent IV potassium ... Intracellular Shift ... diagnosis #causes #potassium ... #high #nephrology
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management Algorithm ... Dialysis Serum potassium ... blocks, QRS axis shift ... #high #diagnosis ... #treatment
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
paraproteinemia, acute ... Transcellular Shift ... FEPO4 ≥ 5% - Renal ... • Normal or High ... Workup #phosphate #nephrology
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