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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86 results
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Algorithm Extra-renal ... Normal Acid-Base: Low ... loss (Diarrhea) Renal ... causes #potassium #low ... #nephrology
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Differential Diagnosis Renal ... and Gitelman syndrome ... hypomagnesemia Renal ... Hypercalcemia, Post renal ... #magnesium #low
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1Β° HPT
- 1Β° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
- 1Β° HPT - 1Β° Renal ... , TIO, Fanconi Syndrome ... Hypophosphatemia #phosphorus #low ... #differential #nephrology
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 β€’ Tea and Toast Syndrome, Beer Potomania - Low solute
Tea and Toast Syndrome ... Beer Potomania - Low ... β€’ Renal Failure ... Hypovolemic - GI losses, renal ... Algorithm #causes #nephrology
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework
Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis
90%:
 -
Pulmonary Renal ... Syndromes and Mimics ... anti-GBM) 10%: - Low ... Levels: Scleroderma Renal ... AnnKumfer #Pulmonary #Renal
Mechanisms of nephron damage in cardiorenal syndrome
 β€’ Increased renal interstitial pressure
 β€’ Hypoperfusion
 β€’ Reduced
in cardiorenal syndrome ... β€’ Increased renal ... Hypoperfusion β€’ Reduced renal ... blood flow β€’ ... pathophysiology #nephrology
Cancer agents and Electrolyte Disorders
 β€’ Hypocalcemia: Cisplatin from Low Mg, Cetuximab- due to low Mg
Axitinib,
Ifosfamide - Fanconi syndrome ... Hypomaqnesemia: Cisplatin- renal ... and Panitumumab- renal ... Hyponatremia: Cisplatin- renal ... Ifosfamide - Fanconi syndrome
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
diarrhea / IBD Renal ... - Transient renal ... - Familial renal ... Mg wasting syndromes ... Differential #Diagnosis #Low
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
urinary sediment, renal ... renal biopsy β€’ ... eosinophiluria, renal ... protein-electrophoresis, renal ... markers β€’ Cardio-renal
Hypokalemia Differential Diagnosis Algorithm

Low intake 
β€’ poor oral intake 

Renal loss 
β€’ Medication 
β€’ Hypomagnesemia 
β€’
Diagnosis Algorithm Low ... oral intake Renal ... Nonreabsorbable anions β€’ Renal ... β€’ Gitelman's syndrome ... β€’ Bartter's syndrome