25 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Algorithm Cl- ... loop or thiazide diuretics ... pressure: Active diuretic ... #urine #Algorithm ... #nephrology #differential
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Differential Diagnosis Algorithm ... - Urinary Chloride ... loop or thiazide diuretics ... pressure: Active diuretic ... Differential #Diagnosis #Algorithm
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Causes of Metabolic Alkalosis ... Differential Diagnosis Algorithm ... fibrosis • Remote diuretic ... resistant: • Current diuretic ... #Metabolic #Alkalosis
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic Alkalosis ... Differential Diagnosis Algorithm ... intake, Diuretics ... -: Diuretics, Bartter ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Differential Diagnosis Algorithm ... intake, Diuretics ... -: Diuretics, Bartter ... #Nephrology #Causes
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic Alkalosis ... Thiazide or loop diuretics ... after renal tubule diuretic ... Thiazide or loop diuretics ... Diagnosis #Causes #nephrology
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... - Metabolic alkalosis ... RENAL LOSS: - Diuresis ... Pathophysiology #Nephrology ... #Chloride
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Periodic paralysis Alkalosis ... Diuretics (discontinued ... Metabolic alkalosis ... Causes #Workup #Nephrology
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Likely Metabolic Alkalosis ... Adenoma • Remote Diuretics ... Contraction Urine Cl ... Elevated #metabolic #alkalosis ... #algorithm #diagnosis
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Differential Diagnosis Algorithm ... Renal losses, Diuretic ... and metabolic alkalosis ... Ketonuria, Osmotic diuresis ... #Causes #nephrology