18 results
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
- Differential ... Diagnosis Algorithm ... diarrhea), Sweat ... - Normal/low ... , Gitelman syndrome
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Algorithm Cl- ... • Normal/low ... , Gitelman syndrome ... #urine #Algorithm ... #nephrology #differential
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Causes of Metabolic Alkalosis ... - Differential ... Diagnosis Algorithm ... BP = Bartter's Syndrome ... , Gitelman's Syndrome
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic Alkalosis ... - Differential ... Diagnosis Algorithm ... , Gitelman Syndrome ... #Differential #
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... - Differential ... Diagnosis Algorithm ... , Gitelman Syndrome ... #Differential #
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Gl tract loss (Diarrhea ... , Gitelman syndrom ... #Diagnosis #Algorithm
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Gitelman Syndrome ... • Normal or low ... Hypochloremic metabolic alkalosis ... ratio 0.5%) Differential ... diarrhea Potential
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Hypochloremia - Differential ... Diagnosis Algorithm ... Decreased Intake: • Low ... NGT suction - Diarrhea ... - Bartter - Gitelman
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic Alkalosis ... : Differential Diagnosis ... diarrhea (congenital ... furosemide-like lesion) • Gitelman ... #Differential #
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Transcellular Shift: • Alkalosis ... • Refeeding syndrome ... losses (NG suction, diarrhea