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differential algorithm hyperkalemia management gitelman high treatment workup chloride diuresis diuretics hypertension hyponatremia indications intercellularshift low medications pathophysiology pharmacology secondary
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 ... #nephrology #low
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
alkalosis, Ketonuria ... Cerebral salt wasting syndrome ... Stress, Drugs, Syndrome ... • Nephrotic syndrome ... #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis ... alkalosis • Kidney ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... urine #Algorithm #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Gitelman Syndrome ... (renal potassium ... tachycardia • Seizures ... • Rhabdomyolysis ... #diagnosis #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Compartment syndrome ... /training - Seizures ... Neuroleptic malignant syndrome ... or compartment syndrome ... #treatment #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
iniury, Compartment syndrome ... , Heat stroke, Metabolic ... /training, Seizures ... Neuroleptic malignant syndrome ... Monitor potassium
Gitelman Syndrome - Diagnosis and Workup Blood Work: - Hypokalemia - Hypomagnesemia - Metabolic Alkalosis - Elevated
Gitelman Syndrome ... Blood Work: - Hypokalemia ... Alkalosis - Elevated ... dr_missyhanna #Gitelman #Syndrome ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Tumor lysis syndrome ... - Rhabdomyolysis ... Excretion: • ... #causes #potassium ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Tumor lysis syndrome ... - Rhabdomyolysis ... Excretion: • ... #causes #potassium ... #high #nephrology
Rhabdomyolysis - Differential Diagnosis Framework Rhabdomyolysis = Destruction of skeletal muscle with leakage of contents into circulation.
Strenuous exercise, Seizures ... Neuroleptic malignant syndrome ... Electrolytes: Hypokalemia ... #Causes #nephrology ... #table
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