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diagnosis algorithm hypokalemia low causes hypophosphatemia metabolic abg acid acidbase base bloodgas chloride disorders framework gas gitelman hypomagnesemia interpretation magnesium
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift: • Alkalosis ... • Refeeding syndrome ... losses (NG suction, diarrhea ... Diagnosis #Algorithm #nephrology ... #low #potassium
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential ... Malabsorption, Chronic diarrhea ... Glucose, Acute resp. alkalosis ... #phosphate #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia - Differential ... Absorption: Chronic Diarrhea ... Acute Respiratory Alkalosis ... Diagnosis #Algorithm #nephrology ... #phosphorus #workup
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
diuretic use, Bartter syndrome ... , Gitelman syndrome ... of sodium and potassium ... urine #Algorithm #nephrology ... #differential #
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... Laxative use • Diarrhea ... - Metabolic Alkalosis ... diagnosis #Algorithm #differential ... #potassium #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
: Differential Diagnosis ... Chloride-rich diarrhea ... other • Severe potassium ... #Differential # ... Diagnosis #Causes #nephrology
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Differentials? ... D-lactate (short bowel syndrome ... acidosis: - Diarrhea ... restrictive lung disease ... Diagnosis #Summary #Nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
ratio 0.5%) Differential ... • Autoimmune disease ... Congenital chloride diarrhea ... Supplement: • Potassium ... #diagnosis #nephrology
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
biliary fistula, Diarrhea ... osmotic diuresis, Potassium ... Tubulointerstitial renal disease ... Hypomagnesemia #Causes #differential ... #diagnosis #nephrology
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