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diagnosis differential algorithm potassium hypokalemia hyponatremia acidosis classification metabolic nongap sodium abg acid acidbase alkaline alp aniongap base bloodgas crrt
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Creatinine • Chronic ... renal failure ... ARB • Adrenal insufficiency ... IntercellularShift #Nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
Framework and Workup ... - Renal insufficiency ... normal Type 4: Hyperkalemic ... Surgical drains - Chronic ... #nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Causes of High-anion ... of High-anion Gap ... Chronic progressive ... (with renal insufficiency ... #nephrology
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
GI losses - Chronic ... Differential #Diagnosis #Low ... #Magnesium #Table ... Classification #Causes ... #Workup #hypomg
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Algorithm Extra-renal ... Syndrome • HTN, High ... Diagnosis #Algorithm #causes ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... insufficiency/Failure ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Beer Potomania - Low ... Treat with a high ... Hypothyroidism, adrenal insufficiency ... Diagnosis #Algorithm #causes ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... insufficiency/Failure ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Malabsorption, Chronic ... FEPO4 ≥ 5% - Renal ... • Normal or High ... #phosphate #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
diuresis can be high ... , Adrenal Insufficiency ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table ... #sodium #nephrology
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