11 results
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... Gl tract loss (Diarrhea ... Bartter syndrome, Gitelman ... #causes #potassium ... #low #nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Diagnosis Algorithm ... losses (NG suction, diarrhea ... Differential #Diagnosis #Algorithm ... #nephrology #low ... #potassium
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
(renal potassium ... • Autoimmune disease ... Congenital chloride diarrhea ... Rhabdomyolysis Treatment ... Syndrome #diagnosis #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Algorithm for patients ... Gastrointestinal loss: Diarrhea ... Bartter syndrome, Gitelman ... #urine #potassium ... #diagnosis #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... treated with IV potassium ... Laxative use • Diarrhea ... Bartter syndrome, Gitelman ... #nephrology #low
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... Bartter syndrome, Gitelman ... of sodium and potassium ... Chloride #urine #Algorithm ... #nephrology #differential
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Diarrhea B. ... Hypokalemia ... progressive kidney disease ... Potassium-sparing ... diagnosis #causes #nephrology
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... plasma insulin (treatment ... nasogastric suction, Diarrhea ... diuretic use), Gitelman's ... differential #diagnosis #nephrology
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... NGT suction - Diarrhea ... - Bartter - Gitelman ... SIGNS: • Muscle ... Pathophysiology #Nephrology
Evaluation and Management of Hypokalemia

Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
search for warning signs ... warranting urgent treatment ... underlying heart disease ... depletion impedes potassium ... #Evaluation #Algorithm
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