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diagnosis differential nephrology management causes potassium rhabdomyolysis acidosis cardiology chf classification clinical criticalcare elevation foamed gitelman heartfailure hyperkalemia hyponatremia hypotonic
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Urine K+ <13 mEq ... loss: Diarrhea Urine ... Urine Cl - Non-reabsorbable ... piperacillin • High Urine ... #urine #potassium
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... A urine K/Cr ratio ... • Diarrhea A urine ... consumption • Low ... #diagnosis #Algorithm
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... isolation) GI loss - Urine ... #Hypokalemia ... Differential #Diagnosis #Algorithm
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Compartment syndrome ... Weakness - Dark urine ... or compartment syndrome ... hour with goal urine ... per day until stable
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
K-sparing diuretics, Saline ... lysis) ± Urine ... Elimination (see Table ... acidosis) • Low ... Slow - don’t delay
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... Present (Uosm ≥100): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... differential #diagnosis #table
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
iniury, Compartment syndrome ... Neuroleptic malignant syndrome ... hour with goal urine ... per day until stable ... Dialysis for severe hyperkalemia
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
urine output. ... patient causing hypovolemia ... acute coronary syndrome ... #differential #algorithm ... #table #foamed
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Inherited (AR) hypokalemic ... • Unexplained hypokalemia ... alkalosis • Normal or low ... Hypocalciuria (spot urine ... Rhabdomyolysis Treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
excretion (e.g., urine ... before beginning treatment ... - Shock - Hypovolemia ... LV failure - Low ... - Compartment syndrome
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