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differential gitelman syndrome management potassium pathophysiology treatment alkalosis bartter causes chloride hyperkalemia hyponatremia hypotonic k low physiologic rhabdomyolysis sodium urinary
Algorithm for Differentiating Gitelman syndrome from Bartter syndrome • Urine Chloride • Urine Ca/Cr ratio Dr. Krithika
Algorithm for Differentiating ... Chloride • Urine ... Ca/Cr ratio ... #nephrology #hypokalemia ... #diagnosis
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Kidney ... in the proximal tubule ... #Algorithm #nephrology ... #differential #diagnosis
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... differentiating kidney ... A urine K/Cr ratio ... #diagnosis #Algorithm ... differential #potassium #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... with hypokalemia ... ↑ Aldosterone: Kidney ... #differential #algorithm ... #diagnosis #nephrology
Gitelman Syndrome Pathophysiology Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
in the distal tubule ... H+ secretion → Hypokalemia ... Metabolic alkalosis ... Pathophysiology #nephrology ... #diagnosis
Gitelman Syndrome - Diagnosis and Workup Blood Work: - Hypokalemia - Hypomagnesemia - Metabolic Alkalosis - Elevated
Blood Work: - Hypokalemia ... Hypomagnesemia - Metabolic ... Elevated Renin Urine ... of echogenic kidneys ... #Workup #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... Heat stroke - Metabolic ... Weakness - Dark urine ... nephrotoxicity to kidney ... causes #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 ... Hypochloremic metabolic ... Hypocalciuria (spot urine ... Gitelman #Syndrome #diagnosis ... #nephrology #management
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... #differential #diagnosis ... #table #sodium ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... lysis) ± Urine ... Elimination (see Table ... Calcium 2-3g IV Ca-gluconate ... Treatment #potassium #nephrology
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