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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Hypocalcemia Workup - Differential Diagnosis Algorithm
 β€’ Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 β€’ High
Hypocalcemia Workup ... Algorithm β€’ Low ... metastases, Hungry bone syndrome ... #Hypocalcemia #Workup ... Diagnosis #Algorithm #nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Workup for Hyperphosphatemia ... intake, Phosphate ... Rhabdomyolysis, Tumor lysis syndrome ... Diagnosis #Framework #Workup ... #phosphate #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Fractional Excretion of Phosphate ... β€’ Normal or Low ... - Normal or Low ... #phosphate #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 β€’ Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... Kidney Phosphate ... Tumor Genesis Syndrome ... Diagnosis #Algorithm #nephrology ... #phosphorus #workup
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
pressure - Normal/low ... Serum albumin - Low ... edgarvlermamd - Nephrology ... #Nephritic #Comparison ... #Table #Nephrology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... hematuria (RBC casts ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Hypophosphatemia - Differential Diagnosis Algorithm
 β€’ Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 β€’ Redistribution/
Malabsorption, Phosphate ... ), Hungry bone syndrome ... Diagnosis #Algorithm #causes ... #nephrology #phosphate
Phosphate Binders - Pros and Cons

Calcium carbonate (TumsTM) 
 - Most inexpensive, antacid properties useful for
Phosphate Binders ... edgarvlermamd - Nephrology ... Binders #Table #Comparison ... #Pharmacology # ... Nephrology
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... Hypercalcemia Low ... PTHrP: - Low ... disease, Viral Syndromes ... #nephrology #PTH
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Normal Acid-Base: Low ... Ureterosigmoidoscopy β€’ HTN, Low ... Diagnosis #Algorithm #causes ... #potassium #low ... #nephrology