11 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
• Normal/low ... Bartter syndrome, Gitelman ... Urine chloride is ... the indicated causes ... #urine #Algorithm
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Causes of Metabolic ... Alkalosis - Differential ... Diagnosis Algorithm ... Urine chloride ... Bartter's Syndrome, Gitelman's
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Hypochloremia - ... Differential Diagnosis Algorithm ... Intake: • Low ... NGT suction - Diarrhea ... - Bartter - Gitelman
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Differential Diagnosis Algorithm ... diarrhea), Sweat ... - Normal/low ... Bartter syndrome, Gitelman ... #causes #urinary
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
• Normal or low ... Hypomagnesemia • Hypochloremic ... metabolic alkalosis ... Hypocalciuria (spot urine ... diarrhea Potential
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Urine Cl-: Vomiting ... (late) • High Urine ... Bartter Syndrome, Gitelman ... #Nephrology #Causes
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... volume contracted: urine ... diarrhea (congenital ... furosemide-like lesion) • Gitelman ... Differential #Diagnosis #Causes
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 ... Bartter syndrome, Gitelman
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... 2-2.5% or 24h Urine ... Mg < 10g • Diarrhea ... nephrocalcinosis (FHHNC) • Gitelman's ... Hypomagnesemia #Magnesium #Low
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... Osmotic diuresis (see ... mannitol, glucosuria Low ... loss • Watery Diarrhea ... #Causes