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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Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Differential Diagnosis ... Familial: Bartter syndrome ... and Gitelman syndrome ... #causes #nephrology ... #magnesium #low
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Hypercalcemia, Hypermagnesemia ... Guillain-BarrΓ© syndrome ... Hypocalcemia, Hypomagnesemia ... #differential #diagnosis ... #table #neurology
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Hypomagnesemia - ... - Hungry bones syndrome ... #Differential #Diagnosis ... #Low #Magnesium ... #Table #Classification
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
- Differential Diagnosis ... Algorithm GI LOSS ... β€’ Gitelman's syndrome ... #Magnesium #Low ... #Algorithm
Hypokalemia Differential Diagnosis Algorithm

Low intake 
β€’ poor oral intake 

Renal loss 
β€’ Medication 
β€’ Hypomagnesemia 
β€’
Hypokalemia Differential Diagnosis ... Algorithm Low ... Medication β€’ Hypomagnesemia ... β€’ Bartter's syndrome ... #Algorithm #Causes
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... #Differential #Diagnosis ... #Algorithm #causes ... #nephrology
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
Approach to Hypomagnesemia ... #algorithm #differential ... #diagnosis #causes ... #nephrology #magnesium ... #low
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
pressure - Normal/low ... Serum albumin - Low ... edgarvlermamd - Nephrology ... Nephritic #Comparison #Table ... #Nephrology #Diagnosis
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 β€’ Focal: Simple, Complex
 β€’ Generalized: Absence,
- Differential Diagnosis ... Algorithm Unprovoked ... vasoconstriction syndrome ... Hyponatremia, Hypomagnesemia ... #neurology
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1Β° HPT
- 1Β° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Algorithm - GI ... , TIO, Fanconi Syndrome ... Hypophosphatemia #phosphorus #low ... #diagnosis #Algorithm ... #differential #nephrology