27 results
Gitelman Syndrome Pathophysiology
Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
Gitelman Syndrome ... Pathophysiology Gitelman ... autosomal recessive salt-losing ... Pathophysiology #nephrology ... #diagnosis
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
- Differential Diagnosis ... • High Urine Cl ... Bartter Syndrome, Gitelman ... #Differential #Diagnosis ... #Algorithm #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
- Differential Diagnosis ... • High Urine Cl ... Bartter Syndrome, Gitelman ... #Differential #Diagnosis ... #Algorithm #Nephrology
Inherited Defects in Kidney Tubule Epithelial Cells

Renal glucosuria - Na+-dependent glucose cotransporter
Cystinuria - Amino acid transporter
Bartter
syndrome - Na-K-2Cl ... barrtin (recruits Cl ... ascending limb Gitelman ... Defects #Kidney #Nephrology ... #Diagnosis #Differential
Gitelman Syndrome - Management
Treatment includes
 - Electrolyte replacement - K & Mg, preferably Cl salts
Gitelman Syndrome ... - Management Treatment ... Mg, preferably Cl ... food - Liberal salt ... #Treatment #nephrology
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Hypokalemia Differential Diagnosis ... Normotensive: • UCl ... Bartter's syndrome, Gitelman's ... #Differential #Diagnosis ... #Algorithm #nephrology
The Urine / Plasma Electrolyte Ratio - Guide to Fluid Restriction in Hyponatremia
 • U/P Ratio
1 → FR < 1000 mL ... 0.5-1 → FR < 800 mL ... 1 → FR < 1200 mL ... #Hyponatremia #diagnosis ... #management #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
• Low Urine Cl ... • High Urine Cl ... Bartter syndrome, Gitelman ... differential #algorithm #diagnosis ... #nephrology
Renal involvement in 35% of mixed cryoglobulinemia vasculitis 
Associated with : 
 • Absence of skin
/min • <60 mL/ ... min/1.73 m2 at diagnosis ... • Dialysis at diagnosis ... Cryoglobulinemia #Vasculitis #Management ... Cryoglobulinemic #Nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Gitelman Syndrome ... AR) hypokalemic salt-losing ... diuretic abuse • Salt ... #Syndrome #diagnosis ... #nephrology #management