8 results
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
- Urinary Chloride ... diarrhea), Sweat ... , Gitelman syndrome ... acidosis: Chronic diarrhea ... #causes #urinary
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
- Urinary Chloride ... Algorithm Cl- ... , Gitelman syndrome ... #Urinary #Chloride ... #urine #Algorithm
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 ... secreting tumor, Primary ... , Gitelman syndrom
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 ... , Gitelman syndrome
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 ... furosemide-like lesion) • Gitelman ... after fasting #Metabolic
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Gitelman Syndrome ... hypomagnesemia • Metabolic ... Hypochloremic metabolic ... • Congenital chloride ... diarrhea Potential
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... NGT suction - Diarrhea ... - Bartter - Gitelman ... • Fatigue Chloride ... Differential #Diagnosis #Algorithm
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
complicated with urinary ... hospitalization due to diarrhea ... nails are seen (see ... abnormal steroid metabolism ... such as nephrotic syndrome