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diagnosis causes hyperkalemia management treatment comatose evaluation heat heatstroke hypokalemia hyponatremia hypotonic illness k neurology perioperative physicalexam physiologic preop preoperative
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic algorithm ... Normal, Renin High ... type 2 • Type 1 ... #nephrology #potassium ... #differential
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... phlebotomy High ... • Trauma/Crush injury ... Increased K Intake: 1. ... #high #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Monitor potassium ... per day until stable ... Rhabdomyolysis #Differential ... causes #treatment #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... phlebotomy High ... • Trauma/Crush injury ... Increased K Intake: 1. ... #high #nephrology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
ASA class If high ... event, follow ACC algorithm ... to determine if stress ... test is indicated ... of Surgery: • High
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
Heat Stroke - Differential ... Loss of sodium/Potassium ... environmental heat stress ... Multi-system illness: 1. ... High body temperatures
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... +K / serum Na >1 ... diuresis can be high ... #diagnosis #table ... #sodium #nephrology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Awareness • Injury ... Comatose Patient 1. ... Anisocoria + Coma → high ... painful stimuli: 1.
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, rhabdo/crush injury ... Cortisol+ACTH stim test ... Elimination (see Table ... 5-10U reg IV + 1- ... #nephrology #K
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
urine Na/Cl < 0.7, high ... with urine Na/Cl ~1. ... correcting serum potassium ... hypokalemia #diagnosis #differential ... #algorithm #nephrology
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