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diagnosis differential causes hyperkalemia hematology high hypokalemia product reactions treatment chronic gitelman k pathophysiology rhabdomyolysis syndrome transfusion transplant urine
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Crush injury • Blood ... Intracellular Shift ... • Addison’s disease ... Blood transfusion ... #high #nephrology
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
Blood Product Transfusions ... indirect Coombs test ... cutaneous eruptions, diarrhea ... potassium from ... #diagnosis #management
Diarrhea Workup and Management Algorithm in Transplant Patients First Tier Microbiologic-Testing: 1. C. difficile PCR (Stool) 2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... CMV qPCR (Serum/Blood ... Breath test for ... #Workup #Management
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Crush injury • Blood ... Intracellular Shift ... • Addison’s disease ... Blood transfusion ... #high #nephrology
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days) Exclude: 1. Causes of acute diarrhea 2. Lactose intolerance 3.
Algorithm for the ... Systemic disease ... leukocytes and occult blood ... #management #algorithm ... #workup #diagnosis
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... creatinine) • Cell shift ... Gastrointestinal loss: Diarrhea ... effective arterial blood ... #diagnosis #nephrology
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
Blood Transfusion ... cutaneous eruptions, diarrhea ... potassium from ... Borrellia (Lyme disease ... #diagnosis #management
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
UA positive for blood ... Shift of extracellular ... of underlying disease ... Monitor potassium ... causes #treatment #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
ischemia, hemolysis, transfusions ... reabsorption) Workup ... Cortisol+ACTH stim test ... #Treatment #potassium ... #nephrology #K
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Normal or low blood ... • Autoimmune disease ... Congenital chloride diarrhea ... Syndrome #diagnosis #nephrology ... #management #pathophysiology
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