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differential algorithm management hyperkalemia alkalosis checklist chloride cva gitelman hypernatremia hypokalemia hypomagnesemia intercellularshift ischemic k magnesium metabolic pathophysiology potassium rhabdomyolysis
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
Causes of Polyuria ... - Differential Diagnosis ... • Central Dl (Low ... Mimics (↑ urine ... #Causes #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... - Differential Diagnosis ... diuresis (see Polyuria ... mannitol, glucosuria Low ... Hypernatremia #Nephrology
Approach to Hypomagnesemia Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
Fractional excretion ... of magnesium = (urine ... #differential #diagnosis ... #causes #nephrology ... #magnesium #low
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... in the proximal tubule ... the indicated causes ... #Algorithm #nephrology ... #differential #diagnosis
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... - Reduced Excretion ... - Differential Diagnosis ... nephron - TTKG > 7, Urine ... IntercellularShift #Nephrology
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
How do you work ... 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 ... Weakness - Dark urine ... #treatment #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
• ↓ Renal K+ Excretion ... lysis) ± Urine ... only if no clear cause ... acidosis) • Low ... #potassium #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
alkalosis • Normal or low ... Hypocalciuria (spot urine ... Rhabdomyolysis Treatment ... Gitelman #Syndrome #diagnosis ... #nephrology #management
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