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diagnosis differential nephrology metabolic causes workup hypokalemia hypophosphatemia potassium acidbase acidosis acute bloodgas coronavirus covid19 evaluation framework guide hiv hypochloremia
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
- Urinary Chloride ... diarrhea), Sweat ... - Normal/low ... acidosis: Chronic diarrhea ... • Normal acid-base
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
- Urinary Chloride ... Algorithm Cl- ... • Normal/low ... poisoning Normal acid-base ... #Urinary #Chloride
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
Acid Base and Blood ... pH - What’s the primary ... Respiratory Acidosis ... Vomiting D - Diarrhea ... acidbase #workup #algorithm
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... Absorption: Chronic Diarrhea ... Syndrome, Acute Respiratory ... Alkalosis, Tumor ... inhibitor, Estrogen based
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Differential Diagnosis Algorithm ... Decreased Intake: • Low ... - Metabolic alkalosis ... NGT suction - Diarrhea ... • Fatigue Chloride
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... • Normal Acid-Base ... Gl tract loss (Diarrhea ... secreting tumor, Primary ... Differential #Diagnosis #Algorithm
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic Alkalosis ... contracted: urine chloride ... diarrhea (congenital ... reversal of chronic respiratory ... > 20 meq/L • Primary
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Malabsorption, Chronic diarrhea ... Glucose, Acute resp. alkalosis ... Denosumab, Estrogen based ... • Normal or Low ... - Normal or Low
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... Laxative use • Diarrhea ... mEq/g suggests urinary ... consumption • Low ... - Metabolic Alkalosis
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Myalgias 10-50% • Respiratory ... 20% • GI: N/V, diarrhea ... Cardiac: multiple case ... normal, can be low ... Guide #Diagnosis #Algorithm
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