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differential causes management hyperkalemia high algorithm framework gitelman hyperphosphatemia k low pathophysiology phosphate summary syndrome
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Diagnosis Algorithm ... Transcellular Shift ... Thyrotoxicosis Medications ... #Algorithm #nephrology ... #low #potassium
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
Medications for ... goals of acute ... disturbances, shift ... Table 3 summarizes medications ... #Management #Medications
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 Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
- Differential Diagnosis ... t-PA, heparin Acute ... • Endogenous: Rhabdomyolysis ... Transcellular Shift ... #phosphate #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... Intracellular Shift ... lysis syndrome - Rhabdomyolysis ... Medications 2. ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... Intracellular Shift ... lysis syndrome - Rhabdomyolysis ... Medications 2. ... #high #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Differential Diagnosis ... Shift of extracellular ... Monitor potassium ... #Differential #Diagnosis ... #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Differential Diagnosis ... Shift of extracellular ... Monitor potassium ... Dialysis for severe hyperkalemia ... #Differential #Diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Etiology: • Medications ... reabsorption) Workup ... #Treatment #potassium ... #nephrology #K
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Transcellular Shifts ... plasma insulin (treatment ... Hypomagnesemia, Acute ... #differential #diagnosis ... #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
(renal potassium ... • Seizures • Rhabdomyolysis ... Treatment - ... Gitelman #Syndrome #diagnosis ... #nephrology #management
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