Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Hypokalemia Differential Diagnosis Algorithm

Low intake 
β€’ poor oral intake 

Renal loss 
β€’ Medication 
β€’ Hypomagnesemia 
β€’
Diagnosis Algorithm ... Medication β€’ Hypomagnesemia ... β€’ Gitelman's syndrome ... β€’ Bartter's syndrome ... #Algorithm #Causes
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Guillain-BarrΓ© syndrome ... Hyperreflexia: β€’ Hypocalcemia ... , Hypomagnesemia ... #differential #diagnosis ... #table #neurology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... the cause of hypokalemia ... Renal K loss β€’ Hypomagnesemia-induced ... #algorithm #causes ... #nephrology #potassium
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Differential Diagnosis ... Familial: Bartter syndrome ... and Gitelman syndrome ... with secondary, hypocalcemia ... #causes #nephrology
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Hypomagnesemia - ... Hypercalcemia - Hypokalemia ... #Differential #Diagnosis ... Low #Magnesium #Table ... Classification #Causes
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... #Differential #Diagnosis ... #Algorithm #causes ... potassium #low #nephrology
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
and hypomagnesemia ... Hypokalemia ... renal Fanconi syndrome ... #differential #diagnosis ... #nephrology #Causes
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 β€’ Focal: Simple, Complex
 β€’ Generalized: Absence,
vasoconstriction syndrome ... Hyponatremia, Hypomagnesemia ... , Hypocalcemia, ... #Algorithm #Causes ... #neurology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... hematuria (RBC casts ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 β€’ High Al, Low R - Primary aldosteronism
 β€’ High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... #Hypokalemia # ... #Algorithm #nephrology ... #causes #low #potassium