Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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diagnosis hypokalemia nephrology potassium endocrinology low pharmacology hypercalcemia treatment workup addiction adrenal aldosterone anesthesia anesthesiology antifungals aortic binders binding bradycardia
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation ... Algorithm Before ... evaluating hypokalemia ... urinary losses: • High ... #differential #
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Differential Diagnosis ... Algorithm Elevated ... PTH (High or normal ... #Differential # ... #causes #endocrinology
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... #Differential # ... Diagnosis #Algorithm ... #nephrology #causes
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Syndrome • HTN, High ... #Differential # ... #causes #potassium
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... PTH - Frankly high ... BrighamChiefs #Hypercalcemia ... #workup #differential
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
constipation, diarrhea, nausea ... ); nausea, vomiting ... patients sensitive to high ... #pharmacology #table ... #comparison #binders
Etiologies of Hypoaldosteronism Hyporeninemic Hypoaldosteronism (Low Renin, Low Aldosterone) - Diabetic Nephropathy - NSAIDs Non-Hyporeninemic Hypoaldosteronism (Normal
Resistance (Normal or High ... Renin, Normal or High ... Hypoaldosteronism #Differential ... #Aldosterone #Comparison ... #Table #Causes
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... insufficiency likely: • High
Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
Diagnostic and Management ... Algorithm CONSIDER ... LIFE THREATENING CAUSES ... Electrolytes (hyperkalemia ... #Differential
Hypermagnesemia - Etiologies by Mechanism Renal Failure Excessive Mg Administration - Massive PO intake
Hypermagnesemia #Differential ... #Diagnosis #High ... #Magnesium #Table ... #Causes #Management
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