46 results
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
- Differential Diagnosis ... Shift: • Lactic acidosis ... , DKA Kidney Disease ... CKD Increased Renal ... #nephrology
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Low Alkaline Phosphatase ... Malnutrition • Wilson's disease ... Pernicious anemia/B12 ... respiratory failure • Neurologic ... : - Renal failure
Types of Renal Calculi

Calcium oxalate
 - Interstitial apatite plaque, Low urine volume, Increased urinary calcium excretion,
tubular acidosis ... recessive genetic disease ... tubular acidosis ... - Antiviral treatment ... #differential #diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... • Metabolic acidosis ... loss (Diarrhea) Renal ... #nephrology
Phosphate Binders - Pros and Cons

Calcium carbonate (TumsTM) 
 - Most inexpensive, antacid properties useful for
and peptic ulcer disease ... , no metabolic acidosis ... edgarvlermamd - Nephrology ... Table #Comparison #Pharmacology ... #Nephrology
Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm

Anion gap - MUDPILES: 
 - Methanol (formic
and Alkalosis - Diagnostic ... Hyperalimentation - Addison disease ... - Renal tubular ... infusion #Diagnosis ... Recommended Text: Nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
- Differential Diagnosis ... Erythropoiesis (B12 ... Losses Non-renal ... vomiting) • Low ... #Algorithm #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... FEPO4 ≥ 5% - Renal ... • Normal or Low ... - Normal or Low ... #nephrology
Characteristics of Commonly Used Phosphate Binders 
Aluminum 
 - Potent and effective 
 - Useful for
Commonly Used Phosphate ... increased risk of low ... edgarvlermamd - Nephrology ... Table #Comparison #Pharmacology ... #Nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Normal Anion-Gap Acidosis ... - Differential Diagnosis ... Tubular Acidosis ... #Differential #Diagnosis ... #Workup #nephrology