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diagnosis differential management causes hyperkalemia potassium bacterial comparison diuresis diuretics encephalopathy endocarditis epilepticus excretion infective marantic medications nbte noninfective pediatrics
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic algorithm ... Potassium-rich diet • Blood ... Normal, Renin High ... hypoplasia Aldosterone high ... #nephrology #potassium
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... Crush injury • Blood ... reactions Common Drugs ... Medications 2. ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... Crush injury • Blood ... reactions Common Drugs ... Medications 2. ... #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Toxins - Drugs ... : • Triad of symptoms ... urine • Other symptoms ... UA positive for blood ... #nephrology
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... /symptoms or echo ... So high index of ... of intravenous drug ... Marantic #diagnosis #table
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Loop Diuretics; High-Ceiling ... Prevention of blood ... Tolvaptan) • Treatment ... Excretion #Diuresis #Nephrology ... #Table
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Immunosuppressive agents, Renal ... Neurological symptoms ... Electrolyte abnormality, Medication ... /Drug toxicity, ... diagnosis #management #neurology
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
• Give high flow ... Consider CBC, renal ... Antiepileptic Drug ... Alternative medications ... seizure #Management #neurology
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
ascitic fluid in blood ... Treat if other signs ... carbapenem if known high ... bilirubin 3) or renal ... #prophylaxis #treatment
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