12 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... of sodium and potassium ... #Metabolic #Alkalosis ... urine #Algorithm #nephrology ... #differential #diagnosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Metabolic alkalosis ... (AG) = {Na - (Cl ... - Differential Diagnosis ... Interpretation #Diagnosis ... #Summary #Nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Differential Algorithm Acidosis ... Metabolic alkalosis ... Differential #Algorithm #Diagnosis ... #Causes #Workup ... #Nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... Alkalosis: Emesis ... acidosis: Proximal ... #Hypokalemia #diagnosis ... #nephrology #low
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Diagnosis ECF ... chronic respiratory acidosis ... • Severe potassium ... #Diagnosis #Causes ... #nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Non-anion Gap Metabolic ... Potassium-sparing ... ACE-Is and ARBs ... #diagnosis #causes ... #nephrology
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Hypomagnesemia - Metabolic ... Alkalosis - Elevated ... Fractional excretion of Cl ... - Normal Renal Ultrasound ... #Workup #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Differential Diagnosis ... • NSAIDs • ACE ... infusions) - Metabolic ... acidosis - Hyperkalemia ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Differential Diagnosis ... • NSAIDs • ACE ... infusions) - Metabolic ... acidosis - Hyperkalemia ... #high #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal ... Hypochloremic metabolic ... Renal tubular acidosis ... Gitelman #Syndrome #diagnosis ... #nephrology #management