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diagnosis differential causes gitelman low management potassium alkalosis chloride classification elevation hyperkalemia hyponatremia intercellularshift lactate lactic pathophysiology rhabdomyolysis treatment typea
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... acidosis: Gl tract ... acidosis: Proximal ... potassium #low #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... A urine K/Cr ratio ... • Diarrhea A urine ... acidosis: Proximal ... differential #potassium #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... urine chloride ... #Algorithm #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Hypovolemia, UNa ... with renal tubal acidosis ... and metabolic alkalosis ... Hypovolemia, UNa ... #Causes #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
tubule (DCT) Clinical ... Hypochloremic metabolic ... Hypocalciuria (spot urine ... Renal tubular acidosis ... #diagnosis #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Heat stroke - Metabolic ... Dermatomyositis Clinical ... Weakness - Dark urine ... hour with goal urine ... causes #treatment #nephrology
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... Non-Anion Gap Metabolic ... Acidosis • Hyperosmolarity ... Tumor Lysis Syndrome ... IntercellularShift #Nephrology
Gitelman Syndrome - Diagnosis and Workup Blood Work: - Hypokalemia - Hypomagnesemia - Metabolic Alkalosis - Elevated
Blood Work: - Hypokalemia ... Hypomagnesemia - Metabolic ... Elevated Renin Urine ... excretion of Cl > 0.5% Clinical ... Diagnosis #Workup #nephrology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
impairment of cellular metabolism ... excretion (e.g., urine ... sweat) - its metabolism ... - Shock - Hypovolemia ... - Compartment syndrome
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