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 nephrology causes hypokalemia potassium alkalosis chloride hypomagnesemia magnesium metabolic urinary coronavirus covid19 evaluation framework guide hyponatremia hypophosphatemia hypotonic phosphate
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... Gastrointestinal loss: Diarrhea ... Liddle syndrome Low-normal ... • Distal RTA Low-normal ... #potassium #differential
Causes of Hypomagnesemia - Differential Diagnosis Algorithm GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Diagnosis Algorithm ... 2-2.5% or 24h Urine ... Mg < 10g • Diarrhea ... 2-2.5% or 24h Urine ... Hypomagnesemia #Magnesium #Low
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... Congenital chloride diarrhea ... /low blood pressure ... #Algorithm #nephrology ... #differential #
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Extra-renal Losses: • Normal ... Gl tract loss (Diarrhea ... #Diagnosis #Algorithm
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... A urine K/Cr ratio ... Laxative use • Diarrhea ... A urine K/Cr ratio ... #differential #
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... leukemia Measure Urine ... Malabsorption, Chronic diarrhea ... or Low PTH: ... or Low FGF-23:
Approach to Hypomagnesemia Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
of magnesium = (urine ... renal function is normal ... Hypomagnesemia #algorithm ... #differential # ... nephrology #magnesium #low
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Metabolic Alkalosis - Differential ... Diagnosis Algorithm ... Congenital chloride diarrhea ... /low blood pressure ... #Diagnosis #Algorithm
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
20% • GI: N/V, diarrhea ... , can be low in ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
remember than the normal ... volume-based algorithm ... Urine Na+K / serum ... can be high or low ... #Hyponatremia #differential
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