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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29 results
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... intake β€’ Metabolic ... loss (Diarrhea) Renal ... #nephrology
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 β€’ Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... - Differential Diagnosis ... - Normal/low blood ... , Gitelman syndrome ... #Diagnosis #Algorithm
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
Metabolic Alkalosis ... /low blood pressure ... #Metabolic #Alkalosis ... urine #Algorithm #nephrology ... #differential #diagnosis
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
suggests extra-renal ... Alkalosis: Emesis ... #Hypokalemia #diagnosis ... differential #potassium #nephrology ... #low
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
and Differential Diagnosis ... 3) Now, look at ... Differential Diagnosis ... Ketoacidosis, Renal ... of H+, Renal loss
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
- Differential Diagnosis ... D-lactate (short bowel syndrome ... - Diarrhea - Renal ... Interpretation #Diagnosis ... #Summary #Nephrology
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
- Differential Diagnosis ... with short bowel syndrome ... ketoacidosis Renal ... acids in advanced renal ... GOLDMARK #mnemonic #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 β€’ Gastric alkalosis:
Diagnosis ECF ... diuretics after renal ... generally indicates a renal ... #Diagnosis #Causes ... #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Periodic paralysis Alkalosis ... Metabolic alkalosis ... Renal artery stenosis ... Differential #Algorithm #Diagnosis ... Causes #Workup #Nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... Glucose, Acute resp. alkalosis ... FEPO4 β‰₯ 5% - Renal ... β€’ Normal or Low ... Workup #phosphate #nephrology