13 results
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... - Urinary Chloride ... diarrhea), Sweat ... , Gitelman syndrome ... acidosis: Chronic diarrhea
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... - Urinary Chloride ... Algorithm Cl- ... #Metabolic #Alkalosis ... #Urinary #Chloride
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
pH - What’s the primary ... Alkalosis - “BLVD ... Vomiting D - Diarrhea ... acidbase #workup #algorithm ... #bloodgas #interpretation
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... diarrhea (congenital ... > 20 meq/L • Primary ... thiazide-sensitive site) Metabolic ... after fasting #Metabolic
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 ... Primary hyperaldo
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Low intake • Metabolic ... Gl tract loss (Diarrhea ... Renal Losses: • Metabolic ... secreting tumor, Primary
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 ... Pressure: - Metabolic ... Alkalosis: Emesis
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 ... tubal acidosis and metabolic ... alkalosis, Ketonuria ... losses, Vomiting, Diarrhea ... Differential #Diagnosis #Algorithm
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
alkalosis ↓ ↑ ... alkalosis/Resp ... D-lactate (short bowel syndrome ... acidosis: - Diarrhea ... Nephrology #ABG #bloodgas