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 differential nephrology pharmacology potassium hematology hypokalemia treatment blood classification endocrinology product reactions adrenal antifungals associated binding challenges coccidioides coccidioidomycosis
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
calcium for K; also binds ... nonspecifically binds ... ); nausea, vomiting ... #pharmacology #table ... #comparison #binders
Potassium Binders for Management of Hyperkalemia • SPS - Sodium polystyrene sulfonate • Patiromer (veltassa) •
Potassium Binders ... for Management ... #Management #Hyperkalemia ... #pharmacology #table ... #comparison #nephrology
Characteristics of Commonly Used Phosphate Binders Aluminum - Potent and effective - Useful for
Used Phosphate Binders ... Lowers level of low-density ... increased risk of low ... #Phosphate #Binders ... #Table #Comparison
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... , hypoglycemia Testing ... insufficiency • Low
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
Hypokalemia - Differential ... type 4) - Salt wasting ... Differential #Diagnosis #Low ... #Potassium #Table ... Classification #Causes
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
- Hypokalemia ... Familial renal Mg wasting ... Differential #Diagnosis #Low ... #Magnesium #Table ... Classification #Causes
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... from other causes ... suggests extra-renal causes ... consumption • Low ... #diagnosis #Algorithm
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Cerebral Salt Wasting ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table
Vasopressors Table Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Resistance, Main Uses ... - Dopamine, low ... Pharmacology #Effect #Management ... #Comparison #Inotropes
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... , Elevated Cr, Low ... hydration - Hyperkalemia ... Non calcium phos binders ... TLS #diagnosis #management
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