12 results
Algorithm for Differentiating Gitelman syndrome from Bartter syndrome
 • Urine Chloride
 • Urine Ca/Cr ratio

Dr. Krithika
Differentiating Gitelman ... syndromeUrine ... Chloride • Urine ... Ca/Cr ratio Dr ... #Algorithm #nephrology
Abnormally Colored Urine - Differential Diagnosis Framework
Red:
 - Hematuria, Hemoglobinuria, Myoglobinuria
 - Beets, Rhubarb, Blackberries, Artificial
Abnormally Colored Urine ... bag syndrome (chronically ... patients with UTI) Dr ... #Discoloration ... Differential #Diagnosis #nephrology
Possible Causes of Altered Urine Color 

Red 
    Foods: beets, blackberries, rhubarb
Causes of Altered Urine ... Uric acid crystals ... Purple (Purple Urine ... #Colored #Discoloration ... Differential #Diagnosis #Nephrology
Causes Abnormal Urine Color - Differential Diagnosis
Turbid White Urine (Albinuria):
 • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
(blue diaper syndrome ... Bag Syndrome - ... beans, Rhubarb By Dr ... #Color #discoloration ... Differential #Diagnosis #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... • Diarrhea A urine ... , Gitelman syndrome ... Distal RTA, DKA Dr ... differential #potassium #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
diuretic use, Bartter syndrome ... , Gitelman syndrome ... tubular acidosis due ... than the chloride due ... #Algorithm #nephrology
Gitelman Syndrome - Management
Treatment includes
 - Electrolyte replacement - K & Mg, preferably Cl salts
Gitelman Syndrome ... - Management Treatment ... with caution Dr ... #Syndrome #Management ... #Treatment #nephrology
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Gitelman Syndrome ... Elevated Renin Urine ... - Normal Renal Ultrasound ... mutations in SLC12A3 Dr ... #Workup #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Gitelman Syndrome ... cotransporter • Gitelman's ... Hypocalciuria (spot urine ... Pseudo Bartter-Gitelman ... #nephrology #management
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
hyperaldosteronism • Low Urine ... (late) • High Urine ... , Gitelman Syndrome ... aldosteronism *Due ... Diagnosis #Algorithm #Nephrology