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clinical physicalexam dermatology rheumatology diagnosis msk skin management orthopedics hepatology differential sports injection procedure rash tenosynovitis treatment cirrhosis finger algorithm
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... Maintenance: 10 g ... intervals in 5-g ... QoD to 15 g QD ... of aspiration #Potassium
Veltassa (Patiromer) MECHANISM: Potassium Binder INDICATION: Treatment of Hyperkalemia FORMULATION: Powder for oral suspension DOSING: 8.4
) MECHANISM: Potassium ... DOSING: 8.4 g ... Increase by 8.4 g ... week, up to 25.2 g ... patiromer) is a potassium
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... ratio < 15 mEq/g ... ratio > 15 mEq/g ... #differential #potassium
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
protein ≤ 2.5 g/ ... protein ≥ 2.5 g/ ... albumin #gradient #hepatology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
pernicious anemia) • G-CSF ... nephrology #low #potassium
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
the basis of the potassium-to-creatinine ... K+ <13 mEq K+/g ... K+ >13 mEq K+/g ... hypokalemia #urine #potassium
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
injury (≥ 1B) - 1 g/ ... days then 20-40 g/ ... Cirrhosis #treatment #hepatology
Treatment of Thrombotic Thrombocytopenic Purpura (TTP) Diagnosis of TTP: • Rare and severe, ADAMTS13 deficiency • Autoimmune
Platelets < 30 G/ ... management #treatment #rheumatology ... #hematology
Management of Lupus Nephritis Lupus nephritis (LN) in 10 to 40% of SLE Hallmark = proteinuria 20.5 g/g
proteinuria 20.5 g/ ... g or 0.5 g/day → ... g by 12 months ... global (IV-G) ... treatment #management #rheumatology
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
hypertension (SAAG > 1.1 g/ ... conditions (SAAG < 1.1 g/ ... Myxedema (SAAG 2 1.1 g/ ... Peritoneum (SAAG < 1.1 g/ ... #differential #hepatology
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