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diagnosis algorithm hypokalemia nephrology causes hypomagnesemia alkalosis chloride hypomg management metabolic pathophysiology syndrome table urinary workup
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
(K) & magnesium( ... Laxative use • Diarrhea ... Bartter syndrome, Gitelman ... diagnosis #Algorithm #differential ... #low
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 ... Bartter syndrome, Gitelman ... #potassium #differential
Causes of Hypomagnesemia - Differential Diagnosis Algorithm GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
2-2.5% or 24h Urine ... Mg < 10g • Diarrhea ... nephrocalcinosis (FHHNC) • Gitelman's ... Hypomagnesemia #Magnesium ... #Low #Causes #Differential
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... syndromes - Gitelman ... #Diagnosis #Low ... #Magnesium #Table ... #Classification
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 ... Congenital chloride diarrhea ... • Magnesium
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Congenital chloride diarrhea ... alkalosis • Normal/low ... Bartter syndrome, Gitelman ... of sodium and potassium ... Algorithm #nephrology #differential
Causes of Hypokalemia I. Decreased intake A. Starvation B. Clay ingestion II. Redistribution into
Gastrointestinal loss (diarrhea ... Magnesium deficiency ... #Hypokalemia #Differential ... #Diagnosis #Low ... #Potassium #Classification
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