14 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
alkalosis • Normal/low ... Urine chloride is ... of sodium and potassium ... #nephrology #differential ... #diagnosis
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
(K) & magnesium( ... Laxative use • Diarrhea ... #Hypokalemia #diagnosis ... #Algorithm #differential ... #low
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Acidosis (NAGMA) - Differential ... Diagnosis Framework ... Chloride Intoxication ... Loss of HCO3 - Diarrhea ... #Diagnosis #Workup
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Diagnosis Algorithm ... 2-2.5% or 24h Urine ... Mg < 10g • Diarrhea ... Hypomagnesemia #Magnesium ... #Low #Causes #Differential
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
the basis of the potassium-to-creatinine ... Gastrointestinal loss: Diarrhea ... EABV, Low Plasma ... #potassium #differential ... #algorithm #diagnosis
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Diagnosis Poor ... NG drainage - Diarrhea ... #Diagnosis #Low ... #Potassium #Table ... #Classification
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Metabolic Alkalosis: Differential ... Diagnosis ECF ... diarrhea (congenital ... other • Severe potassium ... #Diagnosis #Causes
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal or low ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... diarrhea Potential ... • Magnesium
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... Hypomagnesemia #Differential ... #Diagnosis #Low ... #Magnesium #Table ... #Classification
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
biliary fistula, Diarrhea ... osmotic diuresis, Potassium ... Hypomagnesemia #Causes #differential ... #diagnosis #nephrology ... #magnesium #low