66 results
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
- Differential Diagnosis ... hyperaldosteronism • Low Urine ... Cl-: Vomiting, ... (late) • High Urine ... #Differential #Diagnosis
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 ... AnionGap #NAGMA #diagnosis
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
- Differential Diagnosis ... hyperaldosteronism • Low Urine ... Cl-: Vomiting, ... (late) • High Urine ... #Differential #Diagnosis
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 ... #differential #diagnosis
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 ... Cl - Non-reabsorbable ... Cl - Loop diuretics ... differential #algorithm #diagnosis
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 ... alkalosis #algorithm #diagnosis
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
UOP/weights - Urine ... Na/K/Cl/urea/protein ... AKI #Nephrology #Diagnosis
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic ... urine Cl; • ... urine Cl; • ... Na/Cl ~1. ... #hypokalemia #diagnosis
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
its Chloride (Cl ... are balanced by Cl ... high amount of Cl ... criticalcare #management #diagnosis ... #treatment #pharmacology
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
• Shed in the urine ... +/- diarrhea Diagnosis ... • Autopsy PCR Treatment ... #Hantavirus #diagnosis ... #management #treatment