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Gitelman Syndrome - Diagnosis and Workup Blood Work: - Hypokalemia - Hypomagnesemia - Metabolic Alkalosis - Elevated
Elevated Renin Urine ... Fractional excretion of Cl ... > 0.5% Clinical
Urine Anion Gap in NAGMA NA + K - Cl = surrogate for Urine NH4+ NH4+ is excreted
Urine Anion Gap ... NAGMA NA + K - Cl ... surrogate for Urine ... excreted with Cl ... ThePeanutKidney #Urine
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
hyperaldosteronism • Low Urine ... Cl-: Vomiting, ... NGT suction, Low Cl ... (late) • High Urine ... Cl-: Diuretics,
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
hyperaldosteronism • Low Urine ... Cl-: Vomiting, ... NGT suction, Low Cl ... (late) • High Urine ... Cl-: Diuretics,
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Chloride Algorithm Cl ... Kidney loss of Cl ... alkalosis • Loss of Cl ... Cystic fibrosis Cl ... Urine chloride is
Clinical photographs of Cutaneous Leishmaniasis (CL) #Cutaneous #Leishmaniasis #CL #clinical #photos #skin #dermatology
Clinical photographs ... Leishmaniasis (CL ... Leishmaniasis #CL ... #clinical #photos
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Urine K+ <13 mEq ... loss: Diarrhea Urine ... HCO3- • Low Urine ... Cl - Non-reabsorbable ... Cl - Loop diuretics
Approach to Elevated Bicarbonate (HCO3) Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?) (+)
Metabolic Alkalosis Urine ... Volume Contraction Urine ... Cl > 20 (Saline
Inherited Defects in Kidney Tubule Epithelial Cells Renal glucosuria - Na+-dependent glucose cotransporter Cystinuria - Amino acid transporter Bartter
cotransporter, K channel, Cl ... barrtin (recruits Cl ... Thiazide-sensitive Na—Cl ... alpha-Intercalated cell Cl
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Urinary Chloride • Cl ... Kidney loss of Cl ... - Loss of Cl ... Cystic fibrosis) • Cl
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