47 results
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Workup for Hyperphosphatemia ... Transcellular Shift ... CKD Increased Renal ... Diagnosis #Framework #Workup ... #phosphate #nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift ... Medications Renal ... Losses Non-renal ... #nephrology #low ... #potassium
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Malabsorption, Phosphate ... Redistribution/ Shift ... bone syndrome • Renal ... #causes #nephrology ... #phosphate
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Differential Diagnosis Algorithm ... Excretion (IV potassium ... Transcellular Shift ... #Hyperkalemia #Nephrology ... Differential #Diagnosis #Algorithm
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
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Differential Diagnosis Algorithm ... Transcellular Shift ... Differential #Diagnosis #Algorithm ... #nephrology #phosphorus ... #workup
Hyperphosphatemia - Differential Diagnosis Algorithm
Transcellular Shift:
 • Rhabdomyolysis
 • Tumor Lysis
 • Metabolic or Respiratory Acidosis
Differential Diagnosis Algorithm ... Transcellular Shift ... PO4 < 20%: • Renal ... Context of Impaired Renal ... Supplementation • Phosphate
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Fractional Excretion of Phosphate ... Transcellular Shift ... FEPO4 ≥ 5% - Renal ... #phosphate #nephrology
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
Hyperkalemia: Diagnostic algorithm ... Decreased renal ... • Acute renal ... Hyperkalemia #Diagnosis #algorithm ... #nephrology #potassium
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
Hypocalcemia Workup ... Differential Diagnosis Algorithm ... #Hypocalcemia #Workup ... Differential #Diagnosis #Algorithm ... #nephrology #calcium