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Aisha Shaikh Profile picture
Aisha Shaikh
@aishaikh
Nephrologist @PennKidney | Interested in Vascular Access & Onconephrology | Tweets are not medical advice | Opinions my own

Aug 22, 2020, 5 tweets

šŸ’„Interesting case of Hypokalemia - what do you think is going on?
#askrenal

-BP is normal (110/60)
-Orthostatic BP not checked
-H/o chronic diarrhea , diagnosed with Irritable Bowel Syndrome 1 year ago
-15 lbs weight loss in 6 months
-Denies use of laxatives, PPIs or diuretics
-No h/o vomiting

Serum folate level came back low, perhaps pointing towards GI causes - diarrhea/malabsorption/poor nutritional intake

Would avoid folate acid replacement till the hypokalemia improves as folic acid replacement would worsen hypokalemia by causing transcellular shift

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