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management differential nephrology gitelman rheumatology abg acid acidbase acromegaly algorithm alkalosis alkphos ammonia base bicarbonate bilirubin bloodgas calcium checklist chemistry
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
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
CPPD vs Gout == CPPD == Think About CPPD When: • Self-limited synovitis after surgery/trauma (> 65
disease states Pathophysiology ... locations: Wrist, MCP ... culture used to diagnose ... • Male sex • Metabolic ... syndrome • Medications
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
Approach to Elevated Bicarbonate (HCO3) Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?) (+)
(Hx of COPD, OSA ... Gas) (-) Likely Metabolic ... Contraction Urine Cl ... Barter, or Gitelman Syndrome ... alkalosis #algorithm #diagnosis
Gitelman Syndrome Pathophysiology Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
Pathophysiology ... autosomal recessive salt-losing ... → Hypokalemia Metabolic ... #Pathophysiology ... #nephrology #diagnosis
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
(AG) = {Na - (Cl ... - Differential Diagnosis ... D-lactate (short bowel syndrome ... lung disease (COPD ... Interpretation #Diagnosis
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
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Etiology: • Pathophysiology ... factor PRES Diagnosis ... Anterior circulation: MCA ... Differential Diagnosis ... Drug toxicity, Metabolic
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