What medical or family history details may be helpful in the diagnosis of a child with acute hyperkalemia (high serum potassium levels)?

Updated: Jun 20, 2018
  • Author: Eleanor Lederer, MD, FASN; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

Medical history, family history, and review of systems should be explored for any of the following:

  • Acute kidney injury or chronic kidney disease
  • Hypertension
  • Diabetes mellitus
  • Adrenogenital syndromes
  • Malignancy (tumor lysis syndrome)

The family history should include questions about the following:

  • Hyperkalemic periodic paralysis
  • Miscarriages
  • Deaths of very young siblings
  • Neuromuscular disorders
  • Malignant hyperthermia

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