11 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
- Urinary Chloride ... Algorithm Cl- ... of sodium and potassium ... #Urinary #Chloride ... #nephrology #differential
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
- Differential ... Diagnosis Algorithm ... - Urinary Chloride ... diarrhea), Sweat ... , Gitelman syndrome
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Gl tract loss (Diarrhea ... secreting tumor, Primary ... #causes #potassium
Causes of Metabolic Alkalosis - Differential Diagnosis
Chloride depletion syndromes
 • Gastrointestinal losses
    -
Causes of Metabolic ... Alkalosis - Differential ... Diagnosis Chloride ... • Severe potassium ... <2 mmol/L) #Metabolic
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... treated with IV potassium ... Laxative use • Diarrhea ... mEq/g suggests urinary ... #differential #
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Alkalosis: Differential ... diarrhea (congenital ... > 20 meq/L • Primary ... other • Severe potassium ... #Alkalosis #Differential
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Algorithm Acidosis ... - RTA - Diarrhea ... Metabolic alkalosis ... Primary hyperaldo ... #Causes #Workup
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Framework and Workup ... pH Calculate Urinary ... Chloride Intoxication ... Loss of HCO3 - Diarrhea ... NonAnionGap #Acidosis #Metabolic
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia - Differential ... Diagnosis Algorithm ... Absorption: Chronic Diarrhea ... • N Vitamin D: Primary ... nephrology #phosphorus #workup
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
hypomagnesemia • Metabolic ... Hypochloremic metabolic ... ratio 0.5%) Differential ... diarrhea Potential ... Supplement: • Potassium