1868 results
Hyperaldosteronism Testing Algorithm
INDICATIONS FOR TESTING:
Suspicion of primary aldosteronism - Manifestations: hypertension, hypokalemia, metabolic alkalosis
ORDER: Aldosterone/Renin Activity
Hyperaldosteronism ... Testing Algorithm ... ARUPConsult @ARUPLabs #Hyperaldosteronism ... #Algorithm #endocrinology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Differential Diagnosis Algorithm ... secondary or primary hyperaldosteronism ... • Secondary Hyperaldosteronism ... tumor • Pseudo-hyperaldosteronism ... differential #diagnosis #algorithm
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Differential Diagnosis Algorithm ... Volume Depleted 2° hyperaldosteronism ... Expanded 1° / 2° hyperaldosteronism ... Differential #Diagnosis #Algorithm
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Differential Diagnosis Algorithm ... Depleted - 2° hyperaldosteronism ... Expanded - 1° or 2° hyperaldosteronism ... Differential #Diagnosis #Algorithm
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Differential Diagnosis Algorithm ... R - Secondary Hyperaldosteronism ... Low R - Pseudo-hyperaldosteronism ... Differential #Diagnosis #Algorithm
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
Hyperkalemia: Diagnostic algorithm ... Hyporeninemic, hypoaldosteronism ... High: • Primary hypoaldosteronism ... Hyperkalemia #Diagnosis #algorithm
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Differential Diagnosis Algorithm ... Increased BP = Hyperaldosteronism ... Differential #Diagnosis #Algorithm
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... tumor, Primary hyperaldosteronism ... Differential #Diagnosis #Algorithm
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Differential Diagnosis Algorithm ... Depleted - 2° hyperaldosteronism ... Euvolemic* - 1°/2° hyperaldosteronism ... Differential #Diagnosis #Algorithm
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
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Mineralocorticoid • Primary Hyperaldosteronism ... metabolic #alkalosis #algorithm