14 results
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Differential Diagnosis Algorithm ... Congenital chloride diarrhea ... - Normal/low ... , Gitelman syndrome ... acidosis: Chronic diarrhea
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... - Gitelman ... Differential #Diagnosis #Low ... #Magnesium #Table ... Classification #Causes #Workup
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Normal Acid-Base: Low ... Gl tract loss (Diarrhea ... , Gitelman syndrom ... Differential #Diagnosis #Algorithm
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... potassium(K) & magnesium ... Laxative use • Diarrhea ... - Metabolic Alkalosis ... , Gitelman syndrome
Hypophosphatemia - Differential Diagnosis Algorithm

Transcellular Shift
 • Recovery From DKA
 • Refeeding Syndrome
 • Acute Respiratory
• Refeeding Syndrome ... Acute Respiratory Alkalosis ... • Small bowel diarrhea ... : • Aluminum/Magnesium ... Steatorrhea • Chronic Diarrhea
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... • Normal/low ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... Chloride #urine #Algorithm
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Urine Mg < 10g • Diarrhea ... nephrocalcinosis (FHHNC) • Gitelman's ... syndrome • Thiazide ... Hypomagnesemia #Magnesium ... #Low #Causes #Differential
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift: • Alkalosis ... • Refeeding syndrome ... losses (NG suction, diarrhea ... vomiting) • Low ... #nephrology #low
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Differential Diagnosis Algorithm ... Appropriately Low ... Absorption: Chronic Diarrhea ... Acute Respiratory Alkalosis ... nephrology #phosphorus #workup
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Gitelman Syndrome ... • Normal or low ... Congenital chloride diarrhea ... • Potassium • Magnesium ... #Gitelman #Syndrome