15 results
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
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
Toxic Alcohol Ingestion
Alcoholic ketoacidosis - Methanol - Ethylene glycol - Isopropyl Alcohol
 • Metabolic Acidosis
 •
Isopropyl Alcohol • Metabolic ... Gap • Serum / Urine ... Ingestion #diagnosis #toxicology ... #comparison #table
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
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
iniury, Compartment syndrome ... , Heat stroke, Metabolic ... Neuroleptic malignant syndrome ... hour with goal urine ... per day until stable
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
test (with 24-h urine ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes ... Causes #Screening #Workup ... #table