By Alluru S. Reddi
Written in a succinct query and resolution structure, this accomplished source covers all parts of nephrology and customary medical eventualities. approximately a thousand questions with distinctive solutions offer nephrology fellows, training nephrologists and clinicians a greater knowing of nephrology and reduction arrangements for nephrology and inner medication forums. Absolute Nephrology overview positive aspects the newest proof and directions whereas pleasing a serious want in the nephrology community.
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Extra resources for Absolute Nephrology Review: An Essential Q & A Study Guide
First, hypomagnesemia impairs PTH secretion; and second, hypomagnesemia causes skeletal resistance to PTH action. Both mechanisms result in low PTH and Ca2+ levels. Also, levels of 1,25(OH)2D3 were found to be low in hypomagnesemia because of decreased conversion from 25-hydroxyvitamin D3. Alcoholism causes hypophosphatemia by poor dietary intake, transcellular distribution due to respiratory alkalosis and glucose intake, and hypomagnesemia. Since hypomagnesemia is responsible for other electrolyte abnormalities, it is the Mg2+ administration that corrects hypokalemia, hypocalcemia, and hypophosphatemia.
In Reddi AS. Fluid, Electrolyte, and Acid-Base Disorders. Clinical Evaluation and Management. New York, Springer, 2014, pp. 201–213. 48. A 70-year-old man was admitted for a suspicious lung mass. 2 mg/dL (eGFR 60 mL/min). An EKG is also normal. He had an MRI of his chest, which showed a well-demarcated mass. 5 mg with normal PO4 and albumin. The patient is asymptomatic. Which one of the following choices is CORRECT regarding the evaluation of his hypocalcemia? A. B. C. D. E. Obtain an EKG Call either an endocrinologist or nephrologist for evaluation of Ca2+ Order ionized Ca2+ Repeat Ca2+ immediately None of the above The answer is C This is pseudohypocalcemia secondary to MRI contrast agents.
Troponin levels are normal. Urine drug screen is positive only for opiates. He refuses naloxone, as he says that his symptoms are not related to heroin alone. Which one of the following is the MOST likely cause of his hypokalemia? A. B. C. D. E. Caffeine Theophylline Clenbuterol tainted heroin Cocaine and heroin None of the above The answer is C The patient does not demonstrate classic symptoms of heroin abuse, such as CNS and respiratory depression, miosis, or bradycardia. Although caffeine and theophylline can cause hypokalemia by cellular shift, urine toxicology was negative for these substances.
Absolute Nephrology Review: An Essential Q & A Study Guide by Alluru S. Reddi