10 results
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
- Differential Diagnosis ... Algorithm - Urinary ... - Normal/low ... Bartter syndrome, Gitelman ... : Chronic diarrhea
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid Base Disorders ... and Differential Diagnosis ... delta/delta) to see ... 3) Now, look at ... #acidosis #alkalosis
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... • Normal/low ... Bartter syndrome, Gitelman ... Chloride #urine #Algorithm ... #differential #diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... • Metabolic acidosis ... Gl tract loss (Diarrhea ... Bartter syndrome, Gitelman
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
, CNS/muscular disorders ... for Respiratory Acidosis ... Likely Metabolic Alkalosis ... Barter, or Gitelman ... #algorithm #diagnosis
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Decreased Intake: • Low ... NGT suction - Diarrhea ... - Bartter - Gitelman ... cause metabolic acidosis ... #Algorithm #Pathophysiology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Laxative use • Diarrhea ... - Metabolic Alkalosis ... Bartter syndrome, Gitelman ... - Metabolic acidosis ... #Hypokalemia #diagnosis
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
• Normal or low ... Renal tubular acidosis ... Congenital chloride diarrhea ... #Syndrome #diagnosis ... nephrology #management #pathophysiology
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Transcellular Shifts: - Alkalosis ... nasogastric suction, Diarrhea ... Renal tubular acidosis ... diuretic use), Gitelman's ... #differential #diagnosis
Bulimia Nervosa: Complications
GASTROINTESTINAL
 • Dehydration & inability to digest food -> Constipation
 • Recurrent vomiting exposes
hormonal imbalances (low ... lead to metabolic alkalosis ... lead to metabolic acidosis ... loss of HCO3- in diarrhea ... #diagnosis #signs