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Renal Tubular Acidosis (RTA) Diagnosis and Management
 • Distal (type 1) RTA
 • Proximal (type 2)
Renal Tubular Acidosis ... (RTA) Diagnosis ... #rta #Renal #Tubular ... #Acidosis #Diagnosis ... #Management #nephrology
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... Acidosis (RTA) ... Totally scuppers the kidney's ... much easier to diagnosis ... #Management #Nephrology
Proximal Renal Tubular Acidosis (RTA) Ttype 2 Overview

HCO3 reabsorptive failure
Lowering of threshold for HCO3 absorption in
Proximal Renal Tubular ... Acidosis (RTA) ... ThePeanutKidney #RTA ... #Proximal #Diagnosis ... #Management #Nephrology
Hyperkalemic Distal Renal Tubular Acidosis (RTA) Type 4 - 

Failure to acidify urine in collecting duct
Hyperkalemic Distal Renal ... Tubular Acidosis ... (RTA) Type 4 - ... #Hyperkalemic #Diagnosis ... #Management #Nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
oxoproline) • Renal ... Renal acidosis ... Chronic progressive kidney ... #differential #diagnosis ... #causes #nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Shift: • Lactic acidosis ... , DKA Kidney Disease ... : • AKI, CKD ... Increased Renal ... Workup #phosphate #nephrology
Inherited Defects in Kidney Tubule Epithelial Cells

Renal glucosuria - Na+-dependent glucose cotransporter
Cystinuria - Amino acid transporter
Bartter
Inherited Defects in Kidney ... Epithelial Cells Renal ... tubular acidosis ... #Nephrology #Diagnosis ... #Differential #Table
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... suggests extra-renal ... - Metabolic acidosis ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Differential Diagnosis ... Hyperkalemia: • CKD ... - Metabolic acidosis ... SLE • Type IV RTA ... potassium #high #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Renin/Aldosterone, RTA ... tourniquet / IVF line draw ... ), CK+LDH (lysis ... Elimination (see Table ... #potassium #nephrology