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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differential algorithm workup metabolic causes chloride framework hypokalemia phosphate phosphorus
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... suggests extra-renal ... mEq/g suggests urinary ... , Gitelman syndrome ... #nephrology #low
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
- Differential Diagnosis ... leukemia Measure Urine ... resp. alkalosis ... FEPO4 ≥ 5% - Renal ... Workup #phosphate #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
• Normal/low ... , Gitelman syndrome ... of sodium and potassium ... #nephrology #differential ... #diagnosis
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia ... Appropriately Low ... , Acute Respiratory ... Alkalosis, Tumor ... #Algorithm #nephrology
Gitelman Syndrome - Diagnosis and Workup Blood Work: - Hypokalemia - Hypomagnesemia - Metabolic Alkalosis - Elevated
Gitelman Syndrome ... Elevated Renin Urine ... Ultrasound - No ... #Syndrome #Diagnosis ... #Workup #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
: Differential Diagnosis ... postchronic hypercapnia (acute ... furosemide-like lesion) • Gitelman ... other • Severe potassium ... #Causes #nephrology
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