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differential nephrology causes low management acidosis alkalosis chloride classification elevation endocrinology gitelman hypophosphatemia lactate lactic lowphosphate metabolic pathophysiology rhabdomyolysis summary
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... Gastrointestinal loss: Diarrhea ... #urine #potassium ... #differential #algorithm ... #diagnosis #nephrology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Diagnosis Algorithm ... • Refeeding syndrome ... losses (NG suction, diarrhea ... #Algorithm #nephrology ... #low #potassium
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... A urine K/Cr ratio ... Laxative use • Diarrhea ... A urine K/Cr ratio ... #diagnosis #Algorithm
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Gl tract loss (Diarrhea ... #Algorithm #causes ... #potassium #low
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
- Differential Diagnosis ... Algorithm Transcellular ... • Refeeding Syndrome ... Alkalosis • Hypokalemia ... GI: • Small bowel
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... , Gitelman syndrome ... of sodium and potassium ... #Algorithm #nephrology ... #differential #diagnosis
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
- Differential Diagnosis ... Algorithm Decreased ... isolation) GI loss - Urine ... <20mmol/d • Diarrhea ... #Algorithm #Causes
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
(renal potassium ... Hypocalciuria (spot urine ... Congenital chloride diarrhea ... Supplement: • Potassium ... #diagnosis #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
- Differential Diagnosis ... iniury, Compartment syndrome ... hour with goal urine ... Monitor potassium ... Dialysis for severe hyperkalemia
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
excretion (e.g., urine ... again we might see ... / hypoxemia -> focus ... - Shock - Hypovolemia ... - Compartment syndrome
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