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 algorithm hypokalemia causes alkalosis hyponatremia management metabolic physicalexam sodium adies anisocoria blood chloride clinical framework hematuria horners hypophosphatemia hypotonic
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
the basis of the potassium-to-creatinine ... Low-normal EABV ... , Low Plasma HCO3 ... #potassium #differential ... algorithm #diagnosis #nephrology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Normal Acid-Base: Low ... #Hypokalemia #Differential ... Algorithm #causes #potassium ... #low #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... • Diarrhea A urine ... diagnosis #Algorithm #differential ... #potassium #nephrology ... #low
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Hypertensive: • High Al, Low ... #Hypokalemia #Differential ... Diagnosis #Algorithm #nephrology ... #causes #low #potassium
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... leukemia Measure Urine ... • Normal or Low ... - Normal or Low ... Workup #phosphate #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... , Gitelman syndrome ... of sodium and potassium ... #Algorithm #nephrology ... #differential #
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Metabolic Alkalosis: Differential ... volume contracted: urine ... other • Severe potassium ... Metabolic #Alkalosis #Differential ... Diagnosis #Causes #nephrology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
unilateral; • Slow ... Holmes-Adie Syndrome ... Young females Differential ... #PhysicalExam #neurology ... #ophthalmology
Hematuria in Post-Renal Transplant Patient Prevalence up to 12% in the postrenal transplant patient • Bacterial: Escherichia
(Goodpasture's syndrome ... Renal #Transplant #differential ... kidney #blood #urine ... #management #treatment ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... can be high or low ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #differential ... table #sodium #nephrology
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