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Hypophosphatemia is an electrolyte disorder in which there is a low level of phosphate in the blood. [1] Symptoms may include weakness, trouble breathing, and loss of appetite. [ 1 ] Complications may include seizures , coma , rhabdomyolysis , or softening of the bones .
Hyponatremia, or low sodium, is the most commonly seen type of electrolyte imbalance. [12] [13] Treatment of electrolyte imbalance depends on the specific electrolyte involved and whether the levels are too high or too low. [3] The level of aggressiveness of treatment and choice of treatment may change depending on the severity of the ...
Low levels of potassium, phosphate, or magnesium before feeding [7] Or the patient has two or more of the following: Body mass index <18.5; Unintentional weight loss >10% in the past three to six months; Little or no nutritional intake for >5 days; History of alcohol misuse or drugs, including insulin, chemotherapy, antacids, or diuretics [7]
calcitriol (1,25-(OH) 2 vitamin D 3) levels are low or within the lower reference range. Most importantly, urinary loss of phosphate is above the reference range. [citation needed] The renal tubular reabsorption of phosphate (TRP) in X-linked hypophosphatemia is 60%; normal TRP exceeds 90% at the same reduced plasma phosphate concentration.
Hyperphosphatemia is an electrolyte disorder in which there is an elevated level of phosphate in the blood. [1] Most people have no symptoms while others develop calcium deposits in the soft tissue. [1] The disorder is often accompanied by low calcium blood levels, which can result in muscle spasms. [1]
Magnesium deficiency is an electrolyte disturbance in which there is a low level of magnesium in the body. [3] Symptoms include tremor, poor coordination, muscle spasms, loss of appetite, personality changes, and nystagmus. [1] [2] Complications may include seizures or cardiac arrest such as from torsade de pointes. [1]
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Even when low phosphate is measured, its significance is often overlooked. The next most appropriate test is measurement of urine phosphate levels. If there is inappropriately high urine phosphate (phosphaturia) in the setting of low serum phosphate (hypophosphatemia), there should be a high suspicion for tumor-induced osteomalacia.