9 results
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift: • Alkalosis ... in pernicious anemia ... Medications Renal ... Losses Non-renal ... Diagnosis #Algorithm #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential ... Metabolic alkalosis ... Renal artery stenosis ... Diagnosis #Causes #Workup ... #Nephrology
Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm

Anion gap - MUDPILES: 
 - Methanol (formic
Respiratory Acidosis and Alkalosis ... formic acid) - Uremia ... - Salicylates (late ... Addison disease - Renal ... Recommended Text: Nephrology
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Transcellular Shifts: - Alkalosis ... Villous adenoma Renal ... chewing tobacco, Renal ... megaloblastic anemia ... differential #diagnosis #nephrology
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Diagnosis and Workup ... Blood Work: - ... Hypokalemia - Hypomagnesemia ... - Metabolic Alkalosis ... #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
(renal potassium ... Hypochloremic metabolic alkalosis ... Sjögren syndrome, Renal ... Syndrome #diagnosis #nephrology ... #management #pathophysiology
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Hypotension & Hypovolemia ... Shock, Severe Anemia ... Beta-Agonists, ↑ work ... liver Failure, Renal ... HIV, Malaria, Late
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
Renal Replacement ... derangements (hyperkalemia ... CRRT (Continuous renal ... MD @nickmmark #Renal ... RRT #managment #nephrology
Anemia of Hospitalization - Pathophysiology

Why does the Hgb/Hct drop in the first two days during hospitalization?

Interestingly,
- Pathophysiology ... proportionally. 30 years later ... phlebotomy/ blood work ... deficiencies • Renal ... of renal disease