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diagnosis differential algorithm causes gitelman hypokalemia alkaliintake barttersyndrome distantdiuretics endocrinecause endocrinecauses gitelmansyndrome low management measuredurineci metabolicalkalosis mineralocorticoidexcess ngsuction notsalineresponsive pathophysiology
Blood gas analysis Metabolic alkalosis Measured urine CI < 10 mEq/L Saline responsive > 10 mEg/L Not saline responsive - Vomiting or NG
gas analysis Metabolic ... alkalosis Measured ... urine CI < 10 ... cause of H+ loss Renal ... - Gitelman syndrome
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... Alkalosis - Differential ... (late) • High Urine ... hyperaldosteronism • High PRA: Renal ... Diagnosis #Algorithm #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic ... Alkalosis - Differential ... (late) • High Urine ... hyperaldosteronism • High PRA: Renal ... Diagnosis #Algorithm #Nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... volume contracted: urine ... diuretics after renal ... generally indicates a renal ... Diagnosis #Causes #nephrology
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 ... • Diarrhea A urine ... Alkalosis: Emesis ... differential #potassium #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic ... Alkalosis - Differential ... (late) • High Urine ... hyperaldosteronism • High PRA: Renal ... Diagnosis #Algorithm #Nephrology
Gitelman Syndrome - Diagnosis and Workup Blood Work: - Hypokalemia - Hypomagnesemia - Metabolic Alkalosis - Elevated
Gitelman Syndrome ... Hypomagnesemia - Metabolic ... Alkalosis - Elevated ... Renin Urine Testing ... Diagnosis #Workup #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
alkalosis • Normal ... • Hypokalemia (renal ... (spot urine, calcium-creatinine ... , Renal tubular ... #diagnosis #nephrology
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