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diagnosis nephrology causes hypokalemia low management pathophysiology rhabdomyolysis treatment alkalosis altered chloride classification comatose gitelman hypochloremia intercellularshift nagma nonaniongap normal
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Extra-renal Losses ... acidosis: Gl tract ... #causes #potassium
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
Hypokalemia - Differential ... Mineralocorticoid excess - Renal ... tubular acidosis ... Diagnosis #Low #Potassium ... #Table #Classification
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
- Differential ... Diagnosis Algorithm ... • Renal tubular ... acidosis (type ... causes #nephrology #potassium
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... treated with IV potassium ... suggests extra-renal ... acidosis: Proximal ... #differential #
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
(NAGMA) - Differential ... (GFR 20-50 ml/min ... Tubular Acidosis ... normal Type 4: Hyperkalemic ... #Metabolic #NAGMA
Causes of Altered Level of Consciousness GCS < 7 - Differential Diagnosis Algorithm Brain Involvement - Hemispheric
Excesses • Liver/Renal ... Dioxide Narcosis • Metabolic ... Acidosis • Hypernatremia ... • Hypercalcemia ... Altered #comatose #aloc
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Heat stroke - Metabolic ... tubular obstruction ... Monitor potassium ... per day until stable
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Rhabdomyolysis - Differential ... , Heat stroke, Metabolic ... tubular obstruction ... Monitor potassium ... Dialysis for severe hyperkalemia
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Hypochloremia - Differential ... Diagnosis Algorithm ... - Gitelman SIGNS ... filtration rate by tubulo-glomerular ... acidosis - Cl
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
distal convoluted tubule ... (renal potassium ... ratio 0.5%) Differential ... Sjögren syndrome, Renal ... tubular acidosis
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