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algorithm hyperkalemia hypokalemia high rhabdomyolysis cardiology clinical criticalcare diuresis encephalopathy excretion foamed gitelman heartfailure hypomagnesemia k magnesium medications pathophysiology posterior
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Extra-renal Losses ... loss (Diarrhea) Renal ... , Bartter syndrome ... #causes #potassium ... #low #nephrology
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
metastasis (hungry bone syndrome ... steatorrhea) • Renal ... Tubulointerstitial renal ... Endocrine disorders: Syndrome ... diagnosis #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
suggests extra-renal ... ↓ Aldosterone: Syndrome ... , Bartter syndrome ... , Gitelman syndrome ... #potassium #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Compartment syndrome ... or compartment syndrome ... #Diagnosis #Management ... #causes #treatment ... #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... iniury, Compartment syndrome ... Neuroleptic malignant syndrome ... renal ischemia ... #Diagnosis #Management
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Regulating Renal ... disequilibrium syndrome ... and nephrotic syndrome ... and nephrotic syndrome ... #Diuresis #Nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Tumor lysis syndrome ... deficiency • Renal ... Type IV RTA • Renal ... #diagnosis #causes ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Tumor lysis syndrome ... deficiency • Renal ... Type IV RTA • Renal ... #diagnosis #causes ... #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Gitelman Syndrome ... alkalosis • Normal or low ... • Hypokalemia (renal ... , Renal tubular ... #diagnosis #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
post-hypothermia • ↓ Renal ... Excretion: - Renal ... 15 suggests ↓ renal ... #Management #Treatment ... #potassium #nephrology
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