#ICM-Quizz #MedEd CT showed umbilical herniation of the gastric antrum and duodenum with vomiting-related metabolic alkalosis, hypochloremia and hypokalemia. NG decompression and IV saline with potassium corrected these before repair. zurl.co/7DFnU
January 30, 2026 at 9:00 AM
#ICM-Quizz #MedEd CT showed umbilical herniation of the gastric antrum and duodenum with vomiting-related metabolic alkalosis, hypochloremia and hypokalemia. NG decompression and IV saline with potassium corrected these before repair. zurl.co/7DFnU
January 29, 2026 at 5:00 PM
T3d
This study show us that physiology supports a rise from 4.0 to 4.3 mmol/L which leads to:
⚡Fewer hypokalemia episodes
🫀Stabilized resting potential
🔋Fewer ICD shocks & arrhythmias #NephJC
This study show us that physiology supports a rise from 4.0 to 4.3 mmol/L which leads to:
⚡Fewer hypokalemia episodes
🫀Stabilized resting potential
🔋Fewer ICD shocks & arrhythmias #NephJC
January 28, 2026 at 2:45 AM
T3d
This study show us that physiology supports a rise from 4.0 to 4.3 mmol/L which leads to:
⚡Fewer hypokalemia episodes
🫀Stabilized resting potential
🔋Fewer ICD shocks & arrhythmias #NephJC
This study show us that physiology supports a rise from 4.0 to 4.3 mmol/L which leads to:
⚡Fewer hypokalemia episodes
🫀Stabilized resting potential
🔋Fewer ICD shocks & arrhythmias #NephJC
⏰ 60 min to #NephJC
From discussions to blog posts warning us about hypokalemia…
We’ve learned that low K⁺ is not benign, especially in cardiac patients
What if high-normal potassium is protective?
From discussions to blog posts warning us about hypokalemia…
We’ve learned that low K⁺ is not benign, especially in cardiac patients
What if high-normal potassium is protective?
January 28, 2026 at 1:00 AM
⏰ 60 min to #NephJC
From discussions to blog posts warning us about hypokalemia…
We’ve learned that low K⁺ is not benign, especially in cardiac patients
What if high-normal potassium is protective?
From discussions to blog posts warning us about hypokalemia…
We’ve learned that low K⁺ is not benign, especially in cardiac patients
What if high-normal potassium is protective?
In this study, researchers found that #Hypokalemia occurred in 43.75% of gynecological patients recovering from #Anesthesia due to preoperative mechanical bowel preparation, though it had no significant effect on clinical outcomes. #medsky
To read more: doi.org/10.1007/s115...
To read more: doi.org/10.1007/s115...
January 27, 2026 at 1:15 PM
In this study, researchers found that #Hypokalemia occurred in 43.75% of gynecological patients recovering from #Anesthesia due to preoperative mechanical bowel preparation, though it had no significant effect on clinical outcomes. #medsky
To read more: doi.org/10.1007/s115...
To read more: doi.org/10.1007/s115...
*I was in the ICU because I was suffering from (very) severe hyponatremia, hypokalemia, and hypotension and required acute monitoring. I had blood taken every 30 minutes for 3 days and everything that went in to, and came out of my body was precisely measured, because returning to normal...
January 25, 2026 at 3:13 PM
*I was in the ICU because I was suffering from (very) severe hyponatremia, hypokalemia, and hypotension and required acute monitoring. I had blood taken every 30 minutes for 3 days and everything that went in to, and came out of my body was precisely measured, because returning to normal...
it's named banana mix because I got horrible hypokalemia that sent me to the ER and I got obsessed with eating bananas as a result when I made this
let's do a demo (and a test in prod 🙂)
go visit and/or play this sick @piss.beauty track and i'll post the updated share link details later. if you're not logged in, your visit/listen will be counted as anonymous
plyr.fm/track/56?ref...
go visit and/or play this sick @piss.beauty track and i'll post the updated share link details later. if you're not logged in, your visit/listen will be counted as anonymous
plyr.fm/track/56?ref...
banana mix - stellz
stellz • soundcloud re-uploads
plyr.fm
January 22, 2026 at 7:57 PM
it's named banana mix because I got horrible hypokalemia that sent me to the ER and I got obsessed with eating bananas as a result when I made this
Andddd we’re back to hypokalemia. Because being sick with a sinus infection for over a month was enough.
a cartoon character with flames coming out of his head and the word " angry " on his mouth
ALT: a cartoon character with flames coming out of his head and the word " angry " on his mouth
media.tenor.com
January 16, 2026 at 3:13 PM
Andddd we’re back to hypokalemia. Because being sick with a sinus infection for over a month was enough.
Daily Pearl:
Severe hypomagnesemia can independently cause both hypokalemia (by affecting the ROMK channel in the kidneys) and hypocalcemia (by inducing PTH resistance).
Long-term PPI use can lead to profound hypomagnesemia.
Source: CPS - Episode 431: The Clinical Unknown Series
Severe hypomagnesemia can independently cause both hypokalemia (by affecting the ROMK channel in the kidneys) and hypocalcemia (by inducing PTH resistance).
Long-term PPI use can lead to profound hypomagnesemia.
Source: CPS - Episode 431: The Clinical Unknown Series
January 15, 2026 at 10:00 PM
Daily Pearl:
Severe hypomagnesemia can independently cause both hypokalemia (by affecting the ROMK channel in the kidneys) and hypocalcemia (by inducing PTH resistance).
Long-term PPI use can lead to profound hypomagnesemia.
Source: CPS - Episode 431: The Clinical Unknown Series
Severe hypomagnesemia can independently cause both hypokalemia (by affecting the ROMK channel in the kidneys) and hypocalcemia (by inducing PTH resistance).
Long-term PPI use can lead to profound hypomagnesemia.
Source: CPS - Episode 431: The Clinical Unknown Series
This case shows paraneoplastic Cushing syndrome misattributed to volume overload, until the pattern of hypokalemia, alkalosis, hypertension, and hyperglycemia was recognized.
Read more: www.cureus.com/articles/448...
#Cureus #MedSky #Endocrinology #Oncology
Read more: www.cureus.com/articles/448...
#Cureus #MedSky #Endocrinology #Oncology
A Second Look at Refractory Edema: Delayed Diagnosis of Paraneoplastic Cushing’s Syndrome in Small Cell Lung Cancer
Paraneoplastic Cushing syndrome (PCS) is a rare manifestation of ectopic adrenocorticotropic hormone (ACTH) production, mostly associated with bronchial carcinoid and small cell lung cancer (SCLC). It...
www.cureus.com
January 11, 2026 at 8:51 AM
This case shows paraneoplastic Cushing syndrome misattributed to volume overload, until the pattern of hypokalemia, alkalosis, hypertension, and hyperglycemia was recognized.
Read more: www.cureus.com/articles/448...
#Cureus #MedSky #Endocrinology #Oncology
Read more: www.cureus.com/articles/448...
#Cureus #MedSky #Endocrinology #Oncology
It's safer than furosemide, less chance of hypokalemia. 😑
January 10, 2026 at 9:29 PM
It's safer than furosemide, less chance of hypokalemia. 😑
There has been a suggestion that hypokalemia is not itself that important a direct cause of arrhythmia, rather sympathetic stimulation leads to arrhythmia and hypokalaemia in parallel.
January 8, 2026 at 11:49 AM
There has been a suggestion that hypokalemia is not itself that important a direct cause of arrhythmia, rather sympathetic stimulation leads to arrhythmia and hypokalaemia in parallel.
Introduce yourself with what almost killed you:
Hi, I'm acute pancreatitis with hypokalemia, hyperlipidemia so bad there's a visible fat layer on my blood samples (triglycerides at 1997 mg/dL), and an A1C of 11.2.
All of this has been reversed now! Great changes are possible!
Hi, I'm acute pancreatitis with hypokalemia, hyperlipidemia so bad there's a visible fat layer on my blood samples (triglycerides at 1997 mg/dL), and an A1C of 11.2.
All of this has been reversed now! Great changes are possible!
Introduce yourself with what almost killed you:
Hi, I'm Rhabdomyolysis in the middle of Yosemite with the nearest trailhead 22 miles away.
Hi, I'm Rhabdomyolysis in the middle of Yosemite with the nearest trailhead 22 miles away.
Introduce yourself with what almost killed you:
HI, I'm 360s across 4 lanes of busy but not slow I-95 traffic
HI, I'm 360s across 4 lanes of busy but not slow I-95 traffic
January 2, 2026 at 4:04 PM
Introduce yourself with what almost killed you:
Hi, I'm acute pancreatitis with hypokalemia, hyperlipidemia so bad there's a visible fat layer on my blood samples (triglycerides at 1997 mg/dL), and an A1C of 11.2.
All of this has been reversed now! Great changes are possible!
Hi, I'm acute pancreatitis with hypokalemia, hyperlipidemia so bad there's a visible fat layer on my blood samples (triglycerides at 1997 mg/dL), and an A1C of 11.2.
All of this has been reversed now! Great changes are possible!
I don't know why but I have problems absorbing and keeping my potassium up so I get hypokalemia symptoms every so often. Guess it's time to go pack on potassium pills. 😑
December 29, 2025 at 6:51 AM
I don't know why but I have problems absorbing and keeping my potassium up so I get hypokalemia symptoms every so often. Guess it's time to go pack on potassium pills. 😑
🧵10/11
KEY LESSONS 🎯:
1. Consider autoimmune diseases (especially Sjögren's) in refractory hypokalemia + distal RTA
2. Sicca symptoms may be subtle - ask specifically about them!
3. HCV can mimic Sjögren's - check viral load
4. Early diagnosis + electrolyte correction = rapid recovery
KEY LESSONS 🎯:
1. Consider autoimmune diseases (especially Sjögren's) in refractory hypokalemia + distal RTA
2. Sicca symptoms may be subtle - ask specifically about them!
3. HCV can mimic Sjögren's - check viral load
4. Early diagnosis + electrolyte correction = rapid recovery
December 21, 2025 at 2:10 PM
🧵10/11
KEY LESSONS 🎯:
1. Consider autoimmune diseases (especially Sjögren's) in refractory hypokalemia + distal RTA
2. Sicca symptoms may be subtle - ask specifically about them!
3. HCV can mimic Sjögren's - check viral load
4. Early diagnosis + electrolyte correction = rapid recovery
KEY LESSONS 🎯:
1. Consider autoimmune diseases (especially Sjögren's) in refractory hypokalemia + distal RTA
2. Sicca symptoms may be subtle - ask specifically about them!
3. HCV can mimic Sjögren's - check viral load
4. Early diagnosis + electrolyte correction = rapid recovery
🧵8/11
PATHOPHYSIOLOGY of distal RTA in Sjögren's:
Autoimmune attack → absence of H+-ATPase pumps in intercalated cells → can't excrete H+ into urine → H+ retention → metabolic acidosis with normal anion gap.
Increased urinary K+ loss → severe hypokalemia → quadriparesis 💪
PATHOPHYSIOLOGY of distal RTA in Sjögren's:
Autoimmune attack → absence of H+-ATPase pumps in intercalated cells → can't excrete H+ into urine → H+ retention → metabolic acidosis with normal anion gap.
Increased urinary K+ loss → severe hypokalemia → quadriparesis 💪
December 21, 2025 at 2:10 PM
🧵8/11
PATHOPHYSIOLOGY of distal RTA in Sjögren's:
Autoimmune attack → absence of H+-ATPase pumps in intercalated cells → can't excrete H+ into urine → H+ retention → metabolic acidosis with normal anion gap.
Increased urinary K+ loss → severe hypokalemia → quadriparesis 💪
PATHOPHYSIOLOGY of distal RTA in Sjögren's:
Autoimmune attack → absence of H+-ATPase pumps in intercalated cells → can't excrete H+ into urine → H+ retention → metabolic acidosis with normal anion gap.
Increased urinary K+ loss → severe hypokalemia → quadriparesis 💪
🧵5/11
Muscle enzymes were dramatically elevated:
CK 36,614 IU/L ↑↑↑
AST 348 U/L ↑↑
LDH 404 U/L ↑↑
Initially suggested inflammatory myopathy, BUT:
❌ Acute onset (not gradual)
❌ No rash
❌ Enzymes normalized WITHOUT immunosuppression
Diagnosis: hypokalemia-induced rhabdomyolysis!
Muscle enzymes were dramatically elevated:
CK 36,614 IU/L ↑↑↑
AST 348 U/L ↑↑
LDH 404 U/L ↑↑
Initially suggested inflammatory myopathy, BUT:
❌ Acute onset (not gradual)
❌ No rash
❌ Enzymes normalized WITHOUT immunosuppression
Diagnosis: hypokalemia-induced rhabdomyolysis!
December 21, 2025 at 2:10 PM
🧵5/11
Muscle enzymes were dramatically elevated:
CK 36,614 IU/L ↑↑↑
AST 348 U/L ↑↑
LDH 404 U/L ↑↑
Initially suggested inflammatory myopathy, BUT:
❌ Acute onset (not gradual)
❌ No rash
❌ Enzymes normalized WITHOUT immunosuppression
Diagnosis: hypokalemia-induced rhabdomyolysis!
Muscle enzymes were dramatically elevated:
CK 36,614 IU/L ↑↑↑
AST 348 U/L ↑↑
LDH 404 U/L ↑↑
Initially suggested inflammatory myopathy, BUT:
❌ Acute onset (not gradual)
❌ No rash
❌ Enzymes normalized WITHOUT immunosuppression
Diagnosis: hypokalemia-induced rhabdomyolysis!
🧵3/11
Despite adequate K+ and fluid replacement AND no more vomiting after antiemetics, potassium levels REMAINED critically low! 🚨
This refractory hypokalemia suggested something more than just GI losses.
ABG was ordered and revealed:
pH 7.296 ↓
HCO3- 14.4 mmol/L ↓
Normal anion gap: 11
Despite adequate K+ and fluid replacement AND no more vomiting after antiemetics, potassium levels REMAINED critically low! 🚨
This refractory hypokalemia suggested something more than just GI losses.
ABG was ordered and revealed:
pH 7.296 ↓
HCO3- 14.4 mmol/L ↓
Normal anion gap: 11
December 21, 2025 at 2:10 PM
🧵3/11
Despite adequate K+ and fluid replacement AND no more vomiting after antiemetics, potassium levels REMAINED critically low! 🚨
This refractory hypokalemia suggested something more than just GI losses.
ABG was ordered and revealed:
pH 7.296 ↓
HCO3- 14.4 mmol/L ↓
Normal anion gap: 11
Despite adequate K+ and fluid replacement AND no more vomiting after antiemetics, potassium levels REMAINED critically low! 🚨
This refractory hypokalemia suggested something more than just GI losses.
ABG was ordered and revealed:
pH 7.296 ↓
HCO3- 14.4 mmol/L ↓
Normal anion gap: 11
🧵2/11
Initial labs showed SEVERE electrolyte disturbances:
K+ 1.7 mmol/L ↓↓ (critical!)
Na+ 130.1 mmol/L ↓
Mg2+ 1.05 mg/dL ↓
Working diagnosis: quadriparesis secondary to hypokalemia.
Treatment started: IV fluids, potassium supplementation, antiemetics.
But there was a problem...
Initial labs showed SEVERE electrolyte disturbances:
K+ 1.7 mmol/L ↓↓ (critical!)
Na+ 130.1 mmol/L ↓
Mg2+ 1.05 mg/dL ↓
Working diagnosis: quadriparesis secondary to hypokalemia.
Treatment started: IV fluids, potassium supplementation, antiemetics.
But there was a problem...
December 21, 2025 at 2:10 PM
🧵2/11
Initial labs showed SEVERE electrolyte disturbances:
K+ 1.7 mmol/L ↓↓ (critical!)
Na+ 130.1 mmol/L ↓
Mg2+ 1.05 mg/dL ↓
Working diagnosis: quadriparesis secondary to hypokalemia.
Treatment started: IV fluids, potassium supplementation, antiemetics.
But there was a problem...
Initial labs showed SEVERE electrolyte disturbances:
K+ 1.7 mmol/L ↓↓ (critical!)
Na+ 130.1 mmol/L ↓
Mg2+ 1.05 mg/dL ↓
Working diagnosis: quadriparesis secondary to hypokalemia.
Treatment started: IV fluids, potassium supplementation, antiemetics.
But there was a problem...
Also, my heart node needs an ablation for blah, blah, blah. Severe hypokalemia. My heart went crazy when they infused potassium, which hurts a lot. So, it is what it is.
December 14, 2025 at 12:40 AM
Also, my heart node needs an ablation for blah, blah, blah. Severe hypokalemia. My heart went crazy when they infused potassium, which hurts a lot. So, it is what it is.
Loop diuretics are generally more potent at inducing hypokalemia than thiazides
#Nephpearls #NephSky
On a mg per mg diuretic potency basis, loop diuretics cause greater K⁺ loss.
However, chlorthalidone is asso. w/ notably frequent hypokalemia in HTN treatment, partly because it is long-acting.
#Nephpearls #NephSky
On a mg per mg diuretic potency basis, loop diuretics cause greater K⁺ loss.
However, chlorthalidone is asso. w/ notably frequent hypokalemia in HTN treatment, partly because it is long-acting.
December 9, 2025 at 1:04 PM
Loop diuretics are generally more potent at inducing hypokalemia than thiazides
#Nephpearls #NephSky
On a mg per mg diuretic potency basis, loop diuretics cause greater K⁺ loss.
However, chlorthalidone is asso. w/ notably frequent hypokalemia in HTN treatment, partly because it is long-acting.
#Nephpearls #NephSky
On a mg per mg diuretic potency basis, loop diuretics cause greater K⁺ loss.
However, chlorthalidone is asso. w/ notably frequent hypokalemia in HTN treatment, partly because it is long-acting.
Eisaatana, toi on jo paha. Mulla oli "vaan" vakava hypokalemia (koska munuaiset sano piip); olis pitäny osastolle ottaa ohjeiden mukaan, mut mulle ei ees kerrottu koko paskasta – selvis jälkeenpäin ku katoin ite verikoetuloksia.
December 4, 2025 at 2:52 PM
Eisaatana, toi on jo paha. Mulla oli "vaan" vakava hypokalemia (koska munuaiset sano piip); olis pitäny osastolle ottaa ohjeiden mukaan, mut mulle ei ees kerrottu koko paskasta – selvis jälkeenpäin ku katoin ite verikoetuloksia.
For my T2D I had an Endo fellow that wanted to write a paper on me! I was hospitalized with acute pancreatitis, A1C of 11.2, triglycerides in the 3000 range, and hypokalemia. My blood also coagulated within minutes because I had a shit ton of erythritol from sports drinks I had like water.
November 29, 2025 at 7:43 AM
For my T2D I had an Endo fellow that wanted to write a paper on me! I was hospitalized with acute pancreatitis, A1C of 11.2, triglycerides in the 3000 range, and hypokalemia. My blood also coagulated within minutes because I had a shit ton of erythritol from sports drinks I had like water.
Potassium Imbalance: Hypokalemia vs Hyperkalemia
#ElectrolyteImbalance #PotassiumLevels #Hypokalemia #Hyperkalemia #iPrkashMisgra #MedicalEducation #NursingStudents #MedNotes
#ElectrolyteImbalance #PotassiumLevels #Hypokalemia #Hyperkalemia #iPrkashMisgra #MedicalEducation #NursingStudents #MedNotes
November 24, 2025 at 1:03 PM
Potassium Imbalance: Hypokalemia vs Hyperkalemia
#ElectrolyteImbalance #PotassiumLevels #Hypokalemia #Hyperkalemia #iPrkashMisgra #MedicalEducation #NursingStudents #MedNotes
#ElectrolyteImbalance #PotassiumLevels #Hypokalemia #Hyperkalemia #iPrkashMisgra #MedicalEducation #NursingStudents #MedNotes