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diagnosis differential nephrology causes chloride pathophysiology potassium urinary workup bloodgas bulimianervosa complications gitelman hypochloremia hyponatremia interpretation management psychiatry respiratory signs
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
Vomiting D - Diarrhea ... gap metabolic acidosis ... MD @nickmmark #acidbase ... #workup #algorithm ... #alkalosis #metabolic
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... Differential Diagnosis Algorithm ... - Normal/low blood ... diarrhea, Kidney ... #Diagnosis #Algorithm
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... - RTA - Diarrhea ... Periodic paralysis Alkalosis ... Metabolic alkalosis
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... intake • Metabolic ... acidosis: Gl tract ... loss (Diarrhea)
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis ... Urinary Chloride Algorithm ... /low blood pressure ... #Metabolic #Alkalosis ... Chloride #urine #Algorithm
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... Laxative use • Diarrhea ... consumption • Low ... Alkalosis: Emesis ... acidosis: Proximal
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Differential Diagnosis Algorithm ... Hypovolemia, UNa ... with renal tubal acidosis ... and metabolic alkalosis ... losses, Vomiting, Diarrhea
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Differential Diagnosis Algorithm ... Decreased Intake: • Low ... alkalosis - Fistulas ... NGT suction - Diarrhea ... acidosis - Cl
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
alkalosis • Normal ... or low blood pressure ... Hypochloremic metabolic ... Renal tubular acidosis ... Congenital chloride diarrhea
Bulimia Nervosa: Complications GASTROINTESTINAL • Dehydration & inability to digest food -> Constipation • Recurrent vomiting exposes
hormonal imbalances (low ... alkalosis (loss ... acidosis (loss ... of HCO3- in diarrhea ... ) • Overall: hypokalemia
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