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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Phosphate Binders - Pros and Cons

Calcium carbonate (TumsTM) 
 - Most inexpensive, antacid properties useful for
Low pill burden. ... Low pill burden ... edgarvlermamd - Nephrology ... #Table #Comparison ... #Pharmacology #Nephrology
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
and Symptoms by Classification ... obstruction to blood flow ... DrEricStrong #Shock #Differential ... #Table #CriticalCare ... Symptoms #Findings #Comparison
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Acid β†’ renal salt wasting ... #nephrology #sodium ... #low #uricacid
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1Β° HPT
- 1Β° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
- 1Β° Renal PO4 wasting ... Hypophosphatemia #phosphorus #low ... #diagnosis #Algorithm ... #differential # ... nephrology
Characteristics of Commonly Used Phosphate Binders 
Aluminum 
 - Potent and effective 
 - Useful for
Used Phosphate Binders ... Lowers level of low-density ... increased risk of low ... #Phosphate #Binders ... #Table #Comparison
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Hypokalemia - Differential ... type 4) - Salt wasting ... #Diagnosis #Low ... #Potassium #Table ... #Classification
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 β€’ Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia - Differential ... Diagnosis Algorithm ... Appropriately Low ... Antacids, Phosphate Binders ... #nephrology #phosphorus
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Cerebral Salt Wasting ... #Hyponatremia #differential ... #diagnosis #table ... #sodium #nephrology
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Familial renal Mg wasting ... Hypomagnesemia #Differential ... #Diagnosis #Low ... #Magnesium #Table ... #Classification
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... consumption β€’ Low ... #differential # ... potassium #nephrology ... #low