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fractional excretion of phosphorus
Defined as: excreted phosphorus/filtered phosphorus
Indications:
- evaluation of hypophosphatemia
Procedure:
Measured as:
(urine phosphorus/serum phosphorus) / (urine creatinine/serum creatinine)
Clinical significance:
- useful for renal phosphate wasting i.e. Fanconi syndrome, RTA-2 vs extrarenal cause of hypophosphatemia
- fractional excretion of phosphorus > 5% is consistent with renal phosphate wasting (RTA type 2)
Related
hypophosphatemia
General
urinary indices
References
- Medical Knowledge Self Assessment Program (MKSAP) 16
American College of Physicians, Philadelphia 2012