23 results
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Gitelman Syndrome ... Elevated Renin Urine Testing ... excretion of Cl > 0.5% Clinical ... dominant kidney disease ... Renal Imaging: - Normal
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
tests algorithm ... decision for repeat testing ... alcohol-related liver disease ... non-alcoholic fatty liver disease ... #Algorithm #Hepatology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... differentiating kidney K wasting ... consumption • Low/Normal ... Bartter syndrome, Gitelman ... Hypokalemia #diagnosis #Algorithm
Krabbe Disease 

Check out this interesting case of Krabbe disease, a rare genetic leukodystrophy. Diagnosis was
Krabbe Disease ... case of Krabbe disease ... confirmatory lab testing ... treatment with clinical ... • Symmetric abnormal
Performing Ankle Brachial Index (ABI) Measurement
Sensitive and Specific + Inexpensive Test for Diagnosing PAD [In Patients
Patients with Clinical ... Peripheral Arterial Disease ... • Considered normal ... of PAD, further testing ... peripheral #arterial #disease
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Clinical suspicion ... , hypoglycemia Testing ... insufficiency • Low or normal ... Differential #Diagnosis #Algorithm
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Gitelman Syndrome ... tubule (DCT) Clinical ... Metabolic alkalosis • Normal ... renal potassium wasting ... • Autoimmune disease
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Performance thorough ... event, follow ACC algorithm ... Change in clinical ... surgery Stress Testing ... preoperative stress testing
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
: < 1% Clinically ... • Autoimmune diseases ... especially in the setting ... • Abnormal temperature ... bacteremia • Abnormal
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
• Low TSH, Low normal ... • Low TSH, normal ... of pregnancy, critical ... ophthalmopathy → Graves' Disease ... Hyperthyroidism #algorithm