Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis differential nephrology hypokalemia management criticalcare potassium shock alkalosis chloride hypomagnesemia hyponatremia magnesium metabolic overview sodium urinary b12 cobalamin comparison
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... suggests extra-renal causes ... Laxative use • Diarrhea ... consumption • Low
Diarrhea Differential Diagnosis Algorithm Inflammatory - Infectious - Noninvasive - Viral
Diarrhea Differential ... Diagnosis Algorithm ... Bacterial - Protozoal ... amzn.to/2LmUODZ #Diarrhea ... Noninfectious #Causes
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
NG drainage - Diarrhea ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification ... #Causes
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Normal Acid-Base: Low ... Gl tract loss (Diarrhea ... Differential #Diagnosis #Algorithm ... #causes #potassium
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
- Chronic diarrhea ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification ... #Causes #Workup
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Differential Diagnosis by Classification ... • Severe diarrhea ... exacerbation (any cause ... obstruction to blood flow ... #Table #CriticalCare
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications lBS-diarrhoea (IBS-D) - >25% loose or watery stools; <25% hard
TABLE 2. ... syndrome (IBS) sub-classifications ... lBS-diarrhoea ... of incomplete evacuation ... Subclassifications #Classes
Causes of Hypomagnesemia - Differential Diagnosis Algorithm GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... Differential Diagnosis Algorithm ... Urine Mg < 10g • Diarrhea ... Hypomagnesemia #Magnesium #Low ... #Causes #Differential
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Adult Clinical Evaluation ... 20% • GI: N/V, diarrhea ... Cardiac: multiple case ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Hypokalemia Differential Diagnosis Algorithm Low intake • poor oral intake Renal loss • Medication • Hypomagnesemia •
Differential Diagnosis Algorithm ... Low intake ... Differential #Diagnosis #Algorithm ... #Causes #Classification
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