11 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... in the proximal tubule ... the indicated causes ... urine #Algorithm #nephrology ... #differential #diagnosis
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... Diagnosis ECF ... indicates a renal tubule ... #Differential #Diagnosis ... #Causes #nephrology
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
Kidney Injury - Classification ... tubular necrosis (causes ... prolonged prerenal AKI ... - Strong Medicine ... #diagnosis #nephrology
Gitelman Syndrome Pathophysiology
Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
thiazide-sensitive sodium-chloride ... in the distal tubule ... Hypokalemia Metabolic alkalosis ... Pathophysiology #nephrology ... #diagnosis
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
- Differential Diagnosis ... - Metabolic alkalosis ... • Fatigue Chloride ... Pathophysiology #Nephrology ... #Chloride
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
Evaluate underlying cause ... suspicion) • +/- bubble ... ischemic #CVA #stroke ... #workup #diagnosis ... #checklist #neurology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Differential Diagnosis ... Management Summary Causes ... Heat injury, Heat stroke ... + myoglobin AKI ... #treatment #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
distal convoluted tubule ... hypomagnesemia • Metabolic alkalosis ... Hypochloremic metabolic alkalosis ... Gitelman #Syndrome #diagnosis ... #nephrology #management
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... Transcellular Shifts: - Alkalosis ... exercise, Heat stroke ... #differential #diagnosis ... #nephrology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
An APD was noted ... The most common causes ... this are tumors, strokes ... the hospital, diagnosed ... ophthalmology #neurology