20 results
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
- Differential Diagnosis ... Erythropoiesis (B12 ... in pernicious anemia ... Losses Non-renal ... #Algorithm #nephrology
Causes of Anemia by Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm
Low Mean Corpuscular Volume (<80
- Differential Diagnosis ... Algorithm Low ... Renal Disease, Liver ... (>100 fL) • B12 ... #Algorithm #Causes
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
- 1° HPT - 1° Renal ... glucose - Vitamin D Deficiency ... Hypophosphatemia #phosphorus #low ... #diagnosis #Algorithm ... #differential #nephrology
Renal Replacement Therapy (RRT) Modalities

RRT Modalities in the ICU:
 • IHD (Intermittent HD):  3-5 hr
Renal Replacement ... SLEDD (Sustained low ... efficiency daily ... dialysis): ~12 ... #managment #nephrology
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
Renal Replacement ... SLEDD (Sustained low ... efficiency daily ... dialysis): ~12 ... #managment #nephrology
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Algorithm UOsm ... SIADH, Cortisol deficiency ... Primary polydipsia, Low ... solute intake, Renal ... #causes #nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Hypothyroidism, Low ... Glucocorticoid deficiency ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
GI Losses - Gastric
 • Vomiting
 • NG suction
GI
- Differential Diagnosis ... Algorithm GI Losses ... Chloridorrhea Renal ... Syndrome • Enzyme deficiency ... MetabolicAlkalosis #NonGap #Nephrology
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Phosphatase Of Clinical ... • Pernicious anemia ... /B12 deficiency ... respiratory failure • Neurologic ... : - Renal failure
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
) Deficiency Etiology ... intrinsic factor, IF) Clinical ... consider other diagnosis ... #Cobalamin #Deficiency ... #diagnosis #management