10 results
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift ... : • Alkalosis ... • Refeeding syndrome ... losses (NG suction, diarrhea ... #nephrology #low
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Acidosis - RTA - Diarrhea ... Intracellular Shift ... Renal artery stenosis ... Diagnosis #Causes #Workup ... #Nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Malabsorption, Chronic diarrhea ... Transcellular Shift ... Glucose, Acute resp. alkalosis ... FEPO4 ≥ 5% - Renal ... #phosphate #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... Absorption: Chronic Diarrhea ... Transcellular Shift ... Acute Respiratory Alkalosis ... #workup
Hypophosphatemia - Differential Diagnosis Algorithm

Transcellular Shift
 • Recovery From DKA
 • Refeeding Syndrome
 • Acute Respiratory
Transcellular Shift ... • Refeeding Syndrome ... Acute Respiratory Alkalosis ... Increased Excretion - Renal ... Inflammatory Bowel Disease
Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm

Anion gap - MUDPILES: 
 - Methanol (formic
Hyperalimentation - Addison disease ... - Renal tubular ... acidosis - Diarrhea ... GrepMed Recommended Text ... : Nephrology Secrets
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
suggests extra-renal ... Laxative use • Diarrhea ... - Metabolic Alkalosis ... differential #potassium #nephrology ... #low
Causes of Hypokalemia - Differential Diagnosis Algorithm
Decreased intake (rare cause in isolation)
GI loss - Urine loss
Differential Diagnosis Algorithm ... <20mmol/d • Diarrhea ... Transcellular shift ... aldosterone • Renal ... #Hypokalemia #Nephrology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... Inflammatory eye disease ... mononeuritis multiplex WORKUP ... anti-GBM) Other tests ... #diagnosis #management
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
• Normal or low ... • Autoimmune disease ... Congenital chloride diarrhea ... #diagnosis #nephrology ... #management #pathophysiology