16 results
diagnosis differential nephrology causes algorithm alkalosis hypertension management treatment endocrinology rhabdomyolysis acromegaly arthritis bicarbonate chloride comparison cushings disease diuresis diuretics
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... hyperaldosteronism • Low Urine ... Cl-: Vomiting, ... (late) • High Urine ... #Primary #Metabolic
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic ... hyperaldosteronism • Low Urine ... Cl-: Vomiting, ... (late) • High Urine ... aldosteronism #Metabolic
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Chloride Algorithm Cl ... Kidney loss of Cl ... Cystic fibrosis Cl ... diuretic use, Bartter syndrome ... , Gitelman syndrome
Urine Microscopy Crystals Uric Acid crystals: - Formation promoted by acidic urine - Seen in tumor lysis
Urine Microscopy ... Crystals Uric Acid ... crystals: - Formation ... in tumor lysis syndrome ... #comparison #table
Evaluation of Secondary Hypertension • Primary aldosteronism - PRA, PAC • Renal artery stenosis - Renal
Evaluation of Secondary ... fT4 • Cushing syndrome ... cortisol. 24-h urine ... - PRA, PAC #Secondary ... resistant #Evaluation #workup
Approach to Elevated Bicarbonate (HCO3) Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?) (+)
Gas) (-) Likely Metabolic ... Alkalosis Urine ... Volume Contraction Urine ... Cl > 20 (Saline ... Barter, or Gitelman Syndrome
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic ... hyperaldosteronism • Low Urine ... Cl-: Vomiting, ... (late) • High Urine ... aldosterone escape #Metabolic
Gitelman Syndrome - Diagnosis and Workup Blood Work: - Hypokalemia - Hypomagnesemia - Metabolic Alkalosis - Elevated
Gitelman Syndrome ... Hypomagnesemia - Metabolic ... Elevated Renin Urine ... Fractional excretion of Cl ... dr_missyhanna #Gitelman #Syndrome
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... test (with 24-h urine ... • Cushing’s syndrome ... Causes #Screening #Workup ... #table
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Causes of Secondary ... Hypertension - Workup ... with previously stable ... hypokalemia and metabolic ... #Hypertension #Workup
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