10 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... Congenital chloride diarrhea ... acidosis due to diarrhea ... of sodium and potassium ... #Algorithm #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Acidosis - RTA - Diarrhea ... Metabolic alkalosis ... Diagnosis #Causes #Workup ... #Nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... Transcellular Shift: • Alkalosis ... losses (NG suction, diarrhea ... #nephrology #low ... #potassium
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... A urine K/Cr ratio ... Laxative use • Diarrhea ... - Metabolic Alkalosis ... #nephrology #low
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... leukemia Measure Urine ... Malabsorption, Chronic diarrhea ... Glucose, Acute resp. alkalosis ... #phosphate #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
145 mmol/L High Urine ... Osmotic diuresis (see ... glucosuria Low Urine ... loss • Watery Diarrhea ... Hypernatremia #Nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Algorithm for patients ... Gastrointestinal loss: Diarrhea ... #potassium #differential ... #algorithm #diagnosis ... #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Differential Diagnosis Algorithm ... Absorption: Chronic Diarrhea ... Acute Respiratory Alkalosis ... #nephrology #phosphorus ... #workup
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
volume contracted: urine ... Chloride-rich diarrhea ... volume expanded: urine ... other • Severe potassium ... Diagnosis #Causes #nephrology
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 ... Congenital chloride diarrhea ... Supplement: • Potassium ... Syndrome #diagnosis #nephrology