6 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
diarrhea ... due to diarrhea ... of sodium and potassium ... Algorithm #nephrology #differential ... #diagnosis
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Diagnosis Poor ... NG drainage - Diarrhea ... Renal tubular acidosis ... #Potassium #Table ... #Classification
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Diagnosis Framework ... and Workup NAGMA ... Chloride Intoxication ... Loss of HCO3 - Diarrhea ... #Diagnosis #Workup
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Diarrhea B. ... Potassium-sparing ... loads (ammonium chloride ... #differential # ... diagnosis #causes
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Metabolic Alkalosis: Differential ... Diagnosis ECF ... diarrhea (congenital ... chronic respiratory acidosis ... other • Severe potassium
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
ratio 0.5%) Differential ... Renal tubular acidosis ... diarrhea Potential ... Supplement: • Potassium ... Gitelman #Syndrome #diagnosis