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differential management nephrology alkalosis algorithm causes gitelman urinary acquired acromegaly alkphos ammonia bilirubin bonestrength checklist chemistry comparison cppd criticalcare disorders
Refeeding Syndrome: Pathogenesis and clinical findings Patients at Risk of Refeeding Syndrome: - Little or no nutritional
Refeeding Syndrome ... glucose, fluid, salt ... - Metabolic ... #Syndrome #diagnosis ... #pathophysiology
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
- Differential Diagnosis ... Algorithm - Urinary Chloride ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... #Differential #Diagnosis
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Algorithm Cl- ... Kidney loss of Cl ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... #differential #diagnosis
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Refeeding Syndrome ... from hormonal and metabolic ... abnormalities before refeeding ... #Differential #Diagnosis ... #Pathophysiology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... : Differential Diagnosis ... reduced GFR • Refeeding ... after fasting #Metabolic ... #Differential #Diagnosis
Gitelman Syndrome Pathophysiology Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
Pathophysiology ... autosomal recessive salt-losing ... thiazide-sensitive sodium-chloride ... → Hypokalemia Metabolic ... #nephrology #diagnosis
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
hypomagnesemia • Metabolic ... Hypochloremic metabolic ... acidosis (RTA)) • Refeeding ... #diagnosis #nephrology ... #management #pathophysiology
Liver Chemistry Tests - AST, ALT, Alkaline Phosphatase and Bilirubin Metabolism AST and ALT: • AST: liver
and Bilirubin Metabolism ... insult Bilirubin metabolism ... #ASTALT #AlkPhos ... Bilirubin #Hepatology #Pathophysiology ... #Diagnosis #LFTs
Schematic representation of the major sources of ammonia production and its excretory pathway (GI = gastrointestinal,
and decreased metabolism ... Multiple myeloma, CML ... rare): - Reye syndrome ... deficiency #Ammonia #Pathophysiology ... #Differential #Diagnosis
Pancreatitis management checklist Evaluation to guide etiology & management - RUQ ultrasound - Calcium
abdominal compartment syndrome ... or postpyloric feeding ... Pain control - Start ... May consider metabolic ... Pancreatitis #Checklist #Diagnosis
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