9 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... , a high urine chloride ... Urine chloride is ... #Metabolic #Alkalosis ... #urine #Algorithm
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... Differential Diagnosis Algorithm ... diarrhea), Sweat ... acidosis: Chronic diarrhea ... #Diagnosis #Algorithm
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... life threatening complications ... A urine K/Cr ratio ... Laxative use • Diarrhea ... Alkalosis: Emesis
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
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal ... Hypochloremic metabolic ... (spot urine, calcium-creatinine ... diarrhea Potential ... Complications:
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 ... volume expanded: urine ... contracted: but urine
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... alkalosis - Fistulas ... NGT suction - Diarrhea ... • Fatigue Chloride ... alkalosis #Hypochloremia
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Differential Diagnosis Algorithm ... Hypovolemia, UNa ... tubal acidosis and metabolic ... alkalosis, Ketonuria ... losses, Vomiting, Diarrhea
Bulimia Nervosa: Complications
GASTROINTESTINAL
 • Dehydration & inability to digest food -> Constipation
 • Recurrent vomiting exposes
Bulimia Nervosa: Complications ... alkalosis (loss ... abuse may lead to metabolic ... loss of HCO3- in diarrhea ... ) • Overall: hypokalemia