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HYPOphosphatemia HYPERphosphatemia
  • A 35 year-old who is being treated for nephrolithiasis develops diffuse weakness
 
Introduction Introduction
  • Causes include
    • hyperparathyroidism
    • osmotic diuresis
    • excessive IV glucose
    • treatment of DKA
    • refeeding syndrome in alcoholics
  • Causes include
    • usually iatrogenic
    • rhabdomyolysis
    • hypoparathyroid
    • hypocalcemia
Presentation Presentation
  • Symptoms
    • diffuse muscle weakness
    • flaccid paralysis
      • due to decreased ATP production
  • Symptoms
    • heart block
    • soft tissue calcification
Evaluation Evaluation
 
  • EKG findings
    • heart block
Treatment Treatment
  • Replace
    • potassium phosphate
    • sodium phosphate
  • Decrease dietary phosphorous
  • Aluminum hydroxide
  • Hydration and acetazolamide
  • Dialysis
Prognosis, Prevention, and Complications Prognosis, Prevention, and Complications
  • If severe may cause
    • rhabdomyolysis
    • hemolysis
 
 

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