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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Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
- Differential ... gastrointestinal K loss β€’ Renal ... β€’ Renal tubular ... #differential # ... algorithm #causes #nephrology
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 ... #Differential # ... potassium #low #nephrology
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... to diuretic #hyperkalemia ... #kaliuresis #management ... #criticalcare #treatment ... diuretics #diuresis #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential ... Renal artery stenosis ... NephTwitter) #Hypokalemia ... #Differential # ... Causes #Workup #Nephrology
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 β€’ Acute renal failure
 β€’ Chronic renal failure
 β€’ Drugs
Increased
Hyperkalemia: Diagnostic ... algorithm Decreased renal ... β€’ Type 1 #Hyperkalemia ... Diagnosis #algorithm #nephrology ... #potassium #differential
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
associated with hypokalemia ... hypomagnesemia Hypokalemia ... pump inhibitor - Renal ... #Medications #differential ... #diagnosis #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
Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 β€’ Hypovolemia
 β€’ Congestion
 β€’ Medications
 β€’
Injury (AKI) - Differential ... Framework PRE-Renal ... AKI: β€’ Hypovolemia ... Kidney #Injury #Differential ... #Diagnosis #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Injury (AKI) - Differential ... Framework Pre-Renal ... : β€’ Hypovolemia ... Kidney #Injury #Differential ... #Diagnosis #nephrology
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Hypomagnesemia - Differential ... Diagnosis Renal ... with secondary, hypocalcemia ... Hypomagnesemia #differential ... diagnosis #causes #nephrology