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 ... oral intake Renal ... β€’ Gitelman's syndrome ... β€’ Bartter's syndrome ... #Differential #Diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Extra-renal Losses ... loss (Diarrhea) Renal ... potassium #low #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
- Differential Diagnosis ... gastrointestinal K loss β€’ Renal ... β€’ Renal tubular ... #differential #diagnosis ... algorithm #causes #nephrology
Renal Tubular Acidosis - Diagnosis Algorithm
 β€’ Hyperkalemic Type 4 RTA
 β€’ Hypokalemic Type 1 RTA
Renal Tubular Acidosis ... - Diagnosis Algorithm ... Type 4 RTA β€’ Hypokalemic ... Tubular #Acidosis #Diagnosis ... #Algorithm #nephrology
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
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
- Differential Diagnosis ... Algorithm Syndrome ... Pain/Post-op β€’ Neurologic ... Malignancy True hypovolemia ... GI losses β€’ Renal
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
associated with hypokalemia ... hypomagnesemia Hypokalemia ... Fanconi syndrome ... #differential #diagnosis ... #nephrology #Causes
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Hypokalemia - Differential ... Diagnosis Poor ... Mineralocorticoid excess - Renal ... proliferation - Hypokalemic ... #Differential #Diagnosis
Cancer agents and Electrolyte Disorders
 β€’ Hypocalcemia: Cisplatin from Low Mg, Cetuximab- due to low Mg
Axitinib,
Disorders β€’ Hypocalcemia ... Ifosfamide - Fanconi syndrome ... Trastuzumab β€’ Hypokalemia ... Ifosfamide - Fanconi syndrome ... #chemotherapy #diagnosis
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
- Differential Diagnosis ... : β€’ Hypovolemia ... Abdominal Compartment Syndrome ... #Differential #Diagnosis ... #nephrology #causes