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diagnosis differential nephrology hypokalemia low management alkalosis blood hematology metabolic product reactions gitelman hypomagnesemia pathophysiology syndrome transfusion transfusions urinary
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
, a high urine chloride ... Urine chloride is ... the indicated causes ... of sodium and potassium ... #urine #Algorithm
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... (K) & magnesium( ... A urine K/Cr ratio ... Laxative use • Diarrhea ... A urine K/Cr ratio
Causes of Hypomagnesemia - Differential Diagnosis Algorithm GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... 2-2.5% or 24h Urine ... Mg < 10g • Diarrhea ... 2-2.5% or 24h Urine ... Hypomagnesemia #Magnesium
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... volume contracted: urine ... diarrhea (congenital ... other • Severe potassium ... Differential #Diagnosis #Causes
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Hypokalemia (renal potassium ... Hypocalciuria (spot urine ... diarrhea Potential ... Supplement: • Potassium ... • Magnesium
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Differential Diagnosis Algorithm ... isolation) GI loss - Urine ... <20mmol/d • Diarrhea ... Gittelman's syndrome • Magnesium ... Differential #Diagnosis #Algorithm
Causes of Hypokalemia I. Decreased intake A. Starvation B. Clay ingestion II. Redistribution into
Causes of Hypokalemia ... Gastrointestinal loss (diarrhea ... Magnesium deficiency ... #Classification ... #Causes
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
flank pain, dark urine ... Causes purpura & ... donors (due to anti-HLA ... cutaneous eruptions, diarrhea ... products contain potassium
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
flank pain, dark urine ... Causes purpura & ... donors (due to anti-HLA ... cutaneous eruptions, diarrhea ... products contain potassium
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