12 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
- Urinary Chloride ... • Normal/low ... of sodium and potassium ... #Urinary #Chloride ... #nephrology #differential
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
- Urinary Chloride ... diarrhea), Sweat ... - Normal/low ... diarrhea, Kidney ... #causes #urinary
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift: • Alkalosis ... losses (NG suction, diarrhea ... vomiting) • Low ... #nephrology #low ... #potassium
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
diarrhea (congenital ... acute reversal of chronic ... > 20 meq/L • Primary ... other • Severe potassium ... Diagnosis #Causes #nephrology
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 ... - Metabolic Alkalosis ... #nephrology #low
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Gl tract loss (Diarrhea ... secreting tumor, Primary ... #causes #potassium ... #low #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... GI Absorption: Chronic ... Diarrhea, Antacids ... Acute Respiratory Alkalosis ... #nephrology #phosphorus
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... Decreased Intake: • Low ... NGT suction - Diarrhea ... Pathophysiology #Nephrology ... #Chloride
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Malabsorption, Chronic ... diarrhea, Poor ... Glucose, Acute resp. alkalosis ... • Normal or Low ... Workup #phosphate #nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
pH Calculate Urinary ... Chloride Intoxication ... Loss of HCO3 - Diarrhea ... Surgical drains - Chronic ... Diagnosis #Workup #nephrology