9 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Normal acid-base status ... LiCl use The urine ... Urine chloride is ... of sodium and potassium ... #Algorithm #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Diagnosis and Management ... exertion/training, Seizures ... Drugs (Statins), ... hour with goal urine ... Monitor potassium
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... exertion/training - Seizures ... Toxins - Drugs - Statins ... Monitor potassium ... causes #treatment #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• Trauma/Crush injury ... • Recent IV potassium ... - Hyperosmolar states ... - Metabolic acidosis ... #high #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
volume contracted: urine ... chloridorrhea) • Status ... chronic respiratory acidosis ... other • Severe potassium ... Diagnosis #Causes #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• Trauma/Crush injury ... • Recent IV potassium ... - Hyperosmolar states ... - Metabolic acidosis ... #high #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, rhabdo/crush injury ... lysis) ± Urine ... Optimize volume status ... #Treatment #potassium ... #nephrology #K
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Measure urine osmolality ... Assess volume status ... of symptomatic (seizures ... Diagnosis #Treatment #management ... #nephrology #sodium
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Hypocalciuria (spot urine ... Renal tubular acidosis ... tachycardia • Seizures ... Syndrome #diagnosis #nephrology ... #management #pathophysiology