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diagnosis causes algorithm kidney management nephrolithiasis pediatrics gitelman hypocalcemia hypokalemia hypomagnesemia magnesium metabolic pathophysiology renalstones syndrome workup
Causes of Nephrolithiasis - Differential Diagnosis Algorithm Radio-opaque - Calcium-containing - 90% of stones Radiolucent - Non-calcium 10%
Nephrolithiasis - Differential ... overproduction • Low ... solubility: • Low ... Nephrolithiasis #Nephrology ... #Differential #
Hypocalcemia Workup - Differential Diagnosis Algorithm • Low Magnesium, High Magnesium - Functional Hypoparathyroidism • High
Hypocalcemia Workup - Differential ... deficiency • Drugs: Calcium ... Pancreatitis, Sepsis ... Diagnosis #Algorithm #nephrology ... #calcium
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
Pediatric Kidney Stones ... HYPERCALCIURIA - Calcium ... protein - Low ... sodium diet ... Management #Pediatrics #nephrology
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
sweating, burns, sepsis ... Hypercalcemic states ... Hypomagnesemia #Causes #differential ... #diagnosis #nephrology ... #magnesium #low
Metabolic Causes of Kidney Stones in Children • Calcium Oxalate: Primary Hyperoxaluria type 1-3, Secondary Hyperoxaluria
Causes of Kidney Stones ... in Children • Calcium ... Syndrome type 1-4, Lowe ... #pediatrics #nephrology ... #differential #
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... alkalosis • Normal or low ... Hypocalciuria (spot urine, calcium-creatinine ... ratio 0.5%) Differential ... Syndrome #diagnosis #nephrology
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