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diagnosis differential hypokalemia algorithm causes management hyperkalemia high hypomagnesemia evaluation gitelman k paralysis pathophysiology periodic rhabdomyolysis syndrome thyrotoxic urine
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift ... vomiting) • Low ... Transcellular shifts ... Diagnosis #Algorithm #nephrology ... #low #potassium
Approach to Hypomagnesemia Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
= (urine magnesium ... intake, Gl loss, shift ... of magnesium into ... diagnosis #causes #nephrology ... #magnesium #low
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 ... potassium intracellularly ... #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
the basis of the potassium-to-creatinine ... creatinine) • Cell shift ... EABV, Low Plasma ... hypokalemia #urine #potassium ... algorithm #diagnosis #nephrology
Thyrotoxic Periodic Paralysis - Illness Script • Epidemiology: Asian men age 20-30 with hyperthyroidism of any
Hypokalemia +/- low ... or high T3 • Treatment ... : Potassium and ... magnesium repletion ... hyperthyroidism, Potassium
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... (K) & magnesium( ... consumption • Low ... #differential #potassium ... #nephrology #low
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
osmotic diuresis, Potassium ... differential #diagnosis #nephrology ... #magnesium #low
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Shift of extracellular ... oxidative injury Treatment ... Treatment of underlying ... Monitor potassium ... #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Transcellular shift ... Gittelman's syndrome • Magnesium ... artery stenosis Low ... Hyperaldosteronism Low ... #Hypokalemia #Nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
acidosis) • Low ... Stabilization Treatments ... Redistribution Treatments ... Slow - don’t delay ... #potassium #nephrology
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