21 results
Hypophosphatemia - Differential Diagnosis Algorithm

Transcellular Shift
 • Recovery From DKA
 • Refeeding Syndrome
 • Acute Respiratory
• Refeeding Syndrome ... • Acute Respiratory ... Alkalosis • Hypokalemia ... Increased Excretion - Renal ... Osteomalacia • Fanconi Syndrome
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Hypophosphatemia ... depletion: Respiratory alkalosis ... ), Hungry bone syndrome ... • Renal losses ... #causes #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
resp. alkalosis ... , Hungry bone syndrome ... Tumor genesis syndrome ... FEPO4 ≥ 5% - Renal ... FGF-23: Fanconi syndrome
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... Shift: Refeeding Syndrome ... Alkalosis, Tumor ... Genesis Syndrome ... FGF23: Fanconi Syndrome
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia ... - 1° HPT - 1° Renal ... , TIO, Fanconi Syndrome ... #phosphorus #low ... #differential #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Diuretics, Bartter Syndrome ... , Gitelman Syndrome ... GRA, Cushing's syndrome ... , Liddle syndrome ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Diuretics, Bartter Syndrome ... , Gitelman Syndrome ... GRA, Cushing's syndrome ... , Liddle syndrome ... #Nephrology #Causes
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift: • Alkalosis ... anemia) • G-CSF ... • Refeeding syndrome ... vomiting) • Low ... #nephrology #low
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
and metabolic alkalosis ... Cerebral salt wasting syndrome ... Stress, Drugs, Syndrome ... UNa > 20: • Acute ... • Nephrotic syndrome
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
Differential Diagnosis Algorithm ... Extravascular deposition: Hyperphosphatemia ... , Acute Pancreatitis ... metastases, Hungry bone syndrome ... #nephrology #calcium