Consult Rounds: Differential Diagnosis of Asterixis

 The differential diagnosis of asterixis is important for a Nephrologists- It is not always Uremia...

Metabolic causes-- Uremia, Liver failure and hypercapnia 
Neuro drugs--Anticonvulsants, Benzos-- classic is phenytoin, carbamazepine, gabapentin, valproic acid, lithium
Antibiotics-- Cefepime, and other cephalosporins
Electrolyte disorders-- Hypomagnesemia, hypokalemia( never seen it there)
Bilateral brain lesions
**Unilateral brain lesions cause unilateral asterixis

Detective Nephron: Next Venture

 Here is another mystery electrolyte disorder with Detective Nephron

https://www.kidneynews.org/view/journals/kidney-news/14/12/article-p16_12.xml 

Concept Map: Acute Pancreatitis and AKI

 

Special post by 

Lakshmi Kannan, MBBS, MD, 

Department of Nephrology, Pikeville Medical Center

Adjunct Faculty, University of Pikeville Kentucky College of Osteopathic Medicine

Kentucky, USA

Reference is here