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differential causes nephrology algorithm management acidosis rhabdomyolysis treatment aki aniongap chronic classification fatigue hypokalemia hypomagnesemia hypomg medications metabolic nongap rta
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic ... failure • Drugs ... uropathies • Drugs ... hyperplasia • Drugs ... #nephrology #potassium
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Drugs II. ... Drug-induced hyperkalemia ... Potassium-sparing ... anti-inflammatory drugs ... #differential #diagnosis
Drugs associated with hypokalemia and hypomagnesemia Hypokalemia - Shift from extracellular fluid to intracellular fluid compartment -
Drugs associated ... - Insulin (high ... Antimicrobials Drug-induced ... panitumumab) #Drugs ... #differential #diagnosis
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... phlebotomy High ... • Trauma/Crush injury ... reactions Common Drugs ... #high #nephrology
Causes of Hyperkalemia Pseudohyperkalemia - Tourniquet use - Hemolysis (in vitro) - Leukocytosis - Thrombocytosis Intra- to extracellular
drugs - Transfusion ... Rhabdomyolysis/crush injury ... failure* - Drugs—potassium-sparing ... anti-inflammatory drugs ... #Causes #diagnosis
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... phlebotomy High ... • Trauma/Crush injury ... reactions Common Drugs ... #high #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
- Differential Diagnosis ... Drugs (Statins), ... Monitor potassium ... Dialysis for severe hyperkalemia ... #Differential #Diagnosis
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... - Toxins - Drugs ... Monitor potassium ... #Differential #Diagnosis ... causes #treatment #nephrology
Renal Tubular Acidosis - Differential Diagnosis Algorithm Decreased Serum K, Urine pH < 5.5 - Proximal RTA Decreased
- Differential Diagnosis ... Increased Serum K = Hyperkalemic ... Tubulointerstitial injury ... nephropathy - Drugs ... #Algorithm #nephrology
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Metabolic • Renal ... Liver Failure • Hypercalcemia ... Anti-Depressants • Drug ... Alcohol) • Drug ... Malnutrition / Drug
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