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syndrome differential stroke algorithm alkalosis checklist chloride clinical defects drift epithelial half hypokalemia inherited ischemic management metabolic one oneandahalf ophthalmology
Gitelman Syndrome Pathophysiology Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
Pathophysiology ... in the distal tubule ... Contraction → ↑ Renin ↑ Ca ... #Syndrome #Pathophysiology ... #nephrology #diagnosis
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
How do you work ... suspicion) • +/- bubble ... #stroke #workup ... #diagnosis #checklist ... #neurology
Gitelman Syndrome - Diagnosis and Workup Blood Work: - Hypokalemia - Hypomagnesemia - Metabolic Alkalosis - Elevated
Gitelman Syndrome ... autosomal dominant kidney ... of echogenic kidneys ... dr_missyhanna #Gitelman ... #Workup #nephrology
Inherited Defects in Kidney Tubule Epithelial Cells Renal glucosuria - Na+-dependent glucose cotransporter Cystinuria - Amino acid transporter Bartter
Inherited Defects in Kidney ... Tubule Epithelial ... ascending limb Gitelman ... Inherited #Defects #Kidney ... #Nephrology #Diagnosis
Pronator Drift Testing for Stroke Subtle extensor weakness - Sign of Upper motor neuron lesion In detecting CT/MRI
Testing for Stroke Subtle ... Testing #Stroke #physicalexam ... #diagnosis #neurology ... #cva
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Kidney ... Bartter syndrome, Gitelman ... in the proximal tubule ... urine #Algorithm #nephrology ... #differential #diagnosis
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Gitelman Syndrome ... distal convoluted tubule ... #Syndrome #diagnosis ... #nephrology #management ... #pathophysiology
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
Entering VA was ... An APD was noted ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam ... ophthalmology #neurology
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