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diagnosis differential nephrology metabolic causes hypokalemia chloride pathophysiology potassium bicarbonate bulimianervosa elevated hypochloremia hypophosphatemia management phosphorus primary psychiatry signs symptoms
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
- Urinary Chloride ... - Normal/low ... , Gitelman syndrome ... : Chronic diarrhea ... #causes #urinary
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
• Metabolic acidosis ... Gl tract loss (Diarrhea ... • Metabolic acidosis ... secreting tumor, Primary ... , Gitelman syndrom
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
- Urinary Chloride ... Algorithm Cl- ... • Normal/low ... , Gitelman syndrome ... #urine #Algorithm
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
life threatening complications ... Laxative use • Diarrhea ... - Metabolic Alkalosis ... , Gitelman syndrome ... - Metabolic acidosis
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Alkalosis - Differential ... Diagnosis Algorithm ... , Gitelman Syndrome ... #Alkalosis #Differential ... #Diagnosis #Algorithm
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic ... Alkalosis - Differential ... Diagnosis Algorithm ... , Gitelman Syndrome ... Differential #Diagnosis #Algorithm
Approach to Elevated Bicarbonate (HCO3) Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?) (+)
for Respiratory Acidosis ... Mineralocorticoid • Primary ... Barter, or Gitelman ... Syndrome Unremarkable ... #algorithm #diagnosis
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 ... Renal tubular acidosis ... Congenital chloride diarrhea ... Potential Complications
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Differential Diagnosis Algorithm ... Decreased Intake: • Low ... NGT suction - Diarrhea ... - Bartter - Gitelman ... cause metabolic acidosis
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic Alkalosis ... Chloride-rich diarrhea ... chronic respiratory acidosis ... > 20 meq/L • Primary ... furosemide-like lesion) • Gitelman
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