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algorithm management alkalosis causes gitelman hyponatremia hypophosphatemia hypotonic metabolic pathophysiology phosphorus physiologic rhabdomyolysis sodium table treatment urinary workup
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
, Syndrome of apparent ... , Bartter syndrome ... , Gitelman syndrome ... #urine #potassium ... #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
↓ Aldosterone: Syndrome ... excess, Liddle's syndrome ... Diuretics, Bartter syndrome ... , Gitelman syndrome ... potassium #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
diuretic use, Bartter syndrome ... , Gitelman syndrome ... potassium acid ... #nephrology #differential ... #diagnosis
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... Shift: Refeeding Syndrome ... Tumor Genesis Syndrome ... FGF23: Fanconi Syndrome ... #nephrology #phosphorus
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Gitelman Syndrome ... alkalosis • Normal or low ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... #diagnosis #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Compartment syndrome ... Neuroleptic malignant syndrome ... or compartment syndrome ... Monitor potassium ... causes #treatment #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... mineralocorticoid deficiency ... Cirrhosis, Nephrotic syndrome ... #diagnosis #table ... #sodium #nephrology
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