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diagnosis algorithm metabolic causes chloride framework hypokalemia hypophosphatemia management pathophysiology phosphate aniongap gitelman hyperkalemia hyperphosphatemia hypochloremia k nongap phosphorus syndrome
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
• Kidney loss ... • Normal/low ... of sodium and potassium ... urine #Algorithm #nephrology ... #differential #
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... Refeeding Syndrome, Acute ... Respiratory Alkalosis ... Diagnosis #Algorithm #nephrology ... #phosphorus #workup
Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
- Differential ... t-PA, heparin Acute ... Shift: • Lactic acidosis ... , DKA Kidney Disease ... #phosphate #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... - Metabolic Alkalosis ... - Metabolic acidosis ... diagnosis #Algorithm #differential ... #potassium #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential ... paraproteinemia, acute ... resp. alkalosis ... #phosphate #nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Renal failure (acute ... Chronic progressive kidney ... Potassium-sparing ... #differential # ... diagnosis #causes #nephrology
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Hypochloremia - Differential ... Decreased Intake: • Low ... unloading • Kidney ... cause metabolic acidosis ... Pathophysiology #Nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
: Differential Diagnosis ... postchronic hypercapnia (acute ... chronic respiratory acidosis ... other • Severe potassium ... Diagnosis #Causes #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... test (only if no clear ... ) • Low K diet ... Management #Treatment #potassium ... #nephrology #K
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
• Normal or low ... ratio 0.5%) Differential ... Renal tubular acidosis ... Supplement: • Potassium ... Syndrome #diagnosis #nephrology
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