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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Causes of Hypocalcemia - Differential Diagnosis Algorithm
 β€’ Extravascular: Pancreatitis, surgery, acute phosphate intake and renal
Causes of Hypocalcemia ... Pancreatitis, surgery, acute ... phosphate intake and renal ... Pseudohypoparathyroidism, Chronic Kidney ... , Low PTH: Hypoparathyroidism
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 β€’ Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia ... Appropriately Low ... Kidney Phosphate ... , Acute Respiratory ... #Algorithm #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... paraproteinemia, acute ... FEPO4 β‰₯ 5% - Renal ... β€’ Normal or Low ... Workup #phosphate #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... - Differential Diagnosis ... Distributive Shock, HRS, Hypercalcemia ... Abdominal Compartment Syndrome ... #nephrology #causes
Hypocalcemia Workup - Differential Diagnosis Algorithm
 β€’ Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 β€’ High
Hypocalcemia Workup ... Extravascular deposition: Hyperphosphatemia ... , Acute Pancreatitis ... metastases, Hungry bone syndrome ... #Algorithm #nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
t-PA, heparin Acute ... Rhabdomyolysis, Tumor lysis syndrome ... acidosis, DKA Kidney ... CKD Increased Renal ... Workup #phosphate #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... suggests extra-renal ... #diagnosis #Algorithm ... differential #potassium #nephrology ... #low
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... - Differential Diagnosis ... Impaired forward flow ... inhibitors, hepatorenal syndrome ... #nephrology
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Gitelman Syndrome ... Blood Work: - Hypokalemia ... Ultrasound - No ... of echogenic kidneys ... #nephrology
Metabolic Causes of Kidney Stones in Children
 β€’ Calcium Oxalate: Primary Hyperoxaluria type 1-3, Secondary Hyperoxaluria
type 1-4, Lowe ... Syndrome (Oculo-Cerebro-Renal ... disease, AD Hypocalcemic ... Stones #pediatrics #nephrology ... #differential #diagnosis