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Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Transcellular Shift ... • Refeeding syndrome ... Transcellular shifts ... #Hypokalemia #Differential
Hypokalemia Differential Diagnosis Algorithm

Low intake 
• poor oral intake 

Renal loss 
• Medication 
• Hypomagnesemia 
•
Hypokalemia Differential ... • Gitelman's syndrome ... • Bartter's syndrome ... Transcellular shift ... #Hypokalemia #Differential
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
Hypokalemia - Differential ... Transcellular Shift ... - Refeeding Syndrome ... #Hypokalemia #Differential
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Daytime Sleepiness - Differential ... Shift Work) Sleep ... Restless Legs Syndrome ... Hypoventilation Syndrome ... Fatigue #Sleepiness #Differential
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Hypophosphatemia - Differential ... Redistribution/ Shift ... ), Hungry bone syndrome ... Hypophosphatemia #Differential
Hypophosphatemia - Differential Diagnosis Algorithm

Transcellular Shift
 • Recovery From DKA
 • Refeeding Syndrome
 • Acute Respiratory
Hypophosphatemia - Differential ... Transcellular Shift ... • Refeeding Syndrome ... Osteomalacia • Fanconi Syndrome ... #LowPhosphate #Differential
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Hyperkalemia - Differential ... Transcellular Shift ... Hyperkalemia #Nephrology #Differential
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia - Differential ... Transcellular Shift ... : Refeeding Syndrome ... Tumor Genesis Syndrome ... Hypophosphatemia #Differential
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... Transcellular Shift ... Tumor genesis syndrome ... FGF-23: Fanconi syndrome ... Hypophosphatemia #Differential
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Hyperphosphatemia - Differential ... Rhabdomyolysis, Tumor lysis syndrome ... Transcellular Shift ... Hyperphosphatemia #Differential