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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Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 β€’ Acute renal failure
 β€’ Chronic renal failure
 β€’ Drugs
Increased
Hyperkalemia: Diagnostic ... β€’ Acute renal ... β€’ Type 1 #Hyperkalemia ... Diagnosis #algorithm #nephrology ... #potassium #differential
Hypokalemia Differential Diagnosis Algorithm using Urine Potassium to Creatinine Ratio

#Hypokalemia #Differential #Diagnosis #Algorithm #Potassium #Creatinine #Ratio
Hypokalemia Differential ... Algorithm using Urine Potassium ... Creatinine Ratio #Hypokalemia ... #Differential # ... Creatinine #Ratio #nephrology
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Hypokalemia - Differential ... Mineralocorticoid excess - Renal ... proliferation - Hypokalemic ... #Differential # ... Diagnosis #Low #Potassium
Causes of Hyperkalemia

Hyperkalemia is caused by excess potassium intake, impaired potassium excretion, or transcellular shifts. The
caused by excess potassium ... intake, impaired potassium ... with impaired renal ... and underlying renal ... #Differential #
β–Ί
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Algorithm Extra-renal ... loss (Diarrhea) Renal ... Algorithm #causes #potassium ... #low #nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 β€’ IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 β€’ IV Fluids
Shift
Hyperkalemia Treatment ... (if preserved renal ... LouLectures #Hyperkalemia ... #management #potassium ... #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
- Differential ... β€’ Renal tubular ... #differential # ... algorithm #causes #nephrology ... #potassium
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach to Hypokalemia ... 3.5 - Severe renal ... monitoring depend on renal ... monitoring depend on renal ... #Management #CriticalCare
Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 β€’ Hypovolemia
 β€’ Congestion
 β€’ Medications
 β€’
Acute Kidney Injury ... (AKI) - Differential ... AKI: β€’ Hypovolemia ... ASanchez_PS #AKI #Acute ... #Diagnosis #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... (AKI) - Differential ... : β€’ Hypovolemia ... SCVMCMed #AKI #Acute ... #Diagnosis #nephrology