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differential nephrology management hypokalemia algorithm alkalosis hematology low pathophysiology product reactions acidosis bulimianervosa chloride complications elevation gitelman lactate lactic psychiatry
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... A urine K/Cr ratio ... Laxative use • Diarrhea ... A urine K/Cr ratio ... #Hypokalemia #diagnosis
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Congenital chloride diarrhea ... • Normal/low blood ... the indicated causes ... of sodium and potassium ... #differential #diagnosis
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... : Differential Diagnosis ... Chloride-rich diarrhea ... other • Severe potassium ... #Causes #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... Management Summary Causes ... Heat stroke - Metabolic ... UA positive for blood ... Monitor potassium
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
flank pain, dark urine ... donors (due to anti-HLA ... cutaneous eruptions, diarrhea ... potassium from ... #Transfusions #diagnosis
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
flank pain, dark urine ... donors (due to anti-HLA ... cutaneous eruptions, diarrhea ... potassium from ... #Transfusion #diagnosis
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
impairment of cellular metabolism ... removal from the blood ... excretion (e.g., urine ... sweat) - its metabolism ... #typeb #classification
Causes of Hypokalemia I. Decreased intake A. Starvation B. Clay ingestion II. Redistribution into
Causes of Hypokalemia ... Metabolic alkalosis ... Gastrointestinal loss (diarrhea ... #Differential #Diagnosis ... #Classification
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Normal or low blood ... Hypochloremic metabolic ... Hypocalciuria (spot urine ... Congenital chloride diarrhea ... Gitelman #Syndrome #diagnosis
Bulimia Nervosa: Complications GASTROINTESTINAL • Dehydration & inability to digest food -> Constipation • Recurrent vomiting exposes
acids elevated blood ... imbalances (low FSH and LH ... hormone levels cause ... loss of HCO3- in diarrhea ... pathophysiology #diagnosis
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