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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Hypophosphatemia - Differential Diagnosis Algorithm
 β€’ Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 β€’ Redistribution/
Differential Diagnosis Algorithm ... Malabsorption, Phosphate ... Differential #Diagnosis #Algorithm ... #causes #nephrology ... #phosphate
Table 22 provides the characteristics of various phosphate-binding agents.
#Pharmacology #Nephrology #Phosphate #Phosphorus #Binders #Comparison #Table #Disadvantages
Table 22 provides ... #Pharmacology #Nephrology ... #Phosphate #Phosphorus ... #Binders #Comparison ... #Table #Disadvantages
Phosphate Binders - Pros and Cons

Calcium carbonate (TumsTM) 
 - Most inexpensive, antacid properties useful for
Phosphate Binders ... amzn.to/34t5DgJ #Phosphate ... #Binders #Table ... #Comparison #Pharmacology ... #Nephrology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
hematuria (RBC casts ... Nephrotic #Syndrome #Comparison ... #Algorithm #Nephrology
Characteristics of Commonly Used Phosphate Binders 
Aluminum 
 - Potent and effective 
 - Useful for
Commonly Used Phosphate ... amzn.to/34t5DgJ #Phosphate ... #Binders #Table ... #Comparison #Pharmacology ... #Nephrology
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Red blood cell casts ... Red blood cell casts ... edgarvlermamd - Nephrology ... Syndrome #Nephritic #Comparison ... #Table #Nephrology
Causes of Hyperphosphatemia - Differential Diagnosis Algorithm
Serum phosphate level >4.5 mg/dL
 β€’ Spurious hyperphosphatemia
 β€’ True
Causes of Hyperphosphatemia ... Differential Diagnosis Algorithm ... Serum phosphate ... Excess intake: Phosphate ... #nephrology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
epilepticus which may cause ... epilepticus may cause ... #Management #Neurology ... #CriticalCare # ... Refractory #Seizures #Algorithm
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
findings based on cause ... Differential #Diagnosis #table ... #comparison #criticalcare
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Bradyarrhythmias, Some cases ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare