5 results
Blood gas analysis
Metabolic alkalosis
Measured urine CI
< 10 mEq/L
Saline responsive
> 10 mEg/L
Not saline responsive
- Vomiting or NG
analysis Metabolic alkalosis ... Measured urine ... of H+ loss Renal ... cause of H+ loss ... mineralocorticoid excess - Distant
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... diagnosis with direct urine ... Failure to acidify urine ... #Diagnosis #Management ... #Nephrology #Causes
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... suggests extra-renal ... - Metabolic Alkalosis ... Proximal RTA, Distal ... differential #potassium #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
arterial volume (↓distal ... tourniquet / IVF line draw ... lysis) ± Urine ... 20 suggests ↓ distal ... Treatment #potassium #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
of cells on the distal ... • Hypokalemia (renal ... Hypocalciuria (spot urine ... Syndrome #diagnosis #nephrology ... #management #pathophysiology