7 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
alkalosis • Normal/low ... to diarrhea, a high ... high in kidney ... , a high urine chloride ... #nephrology #differential
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Chloride Intoxication ... normal Type 4: Hyperkalemic ... • Serum K high ... - Diarrhea - High ... Diagnosis #Workup #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
mmol creatinine) High ... EABV, High Plasma ... piperacillin • High ... Urine Cl - Loop ... algorithm #diagnosis #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
urinary losses: • High ... - Metabolic acidosis ... diagnosis #Algorithm #differential ... #potassium #nephrology ... #low
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... diuresis can be high ... : Hypovolemia, Hypervolemia ... #Hyponatremia #differential ... table #sodium #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal or low ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... Renal tubular acidosis ... #diagnosis #nephrology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Mutism Pathophysiology ... Anisocoria + Coma → high ... asymmetry and hypotonia ... #PhysicalExam #neurology