11 results
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Differential Diagnosis Algorithm ... Remote use of loop ... or thiazide diuretics ... pressure: Active diuretic ... Differential #Diagnosis #Algorithm
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Algorithm Cl- ... Remote use of loop ... or thiazide diuretics ... pressure: Active diuretic ... #urine #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
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
• Thiazide or loop ... diuretics after ... renal tubule diuretic ... • Thiazide or loop ... diuretics actively
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Likely Metabolic Alkalosis ... Adenoma • Remote Diuretics ... - Loop or Thiazides ... - Loop or Thiazides ... #algorithm #diagnosis
Hypophosphatemia - Differential Diagnosis Algorithm

Transcellular Shift
 • Recovery From DKA
 • Refeeding Syndrome
 • Acute Respiratory
Differential Diagnosis Algorithm ... Acute Respiratory Alkalosis ... Syndrome • Osmotic Diuresis ... Acetazolamide and Thiazide Diuretics ... #endocrinology
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... - Metabolic alkalosis ... RENAL LOSS: - Diuresis ... • Fatigue Chloride ... cause metabolic alkalosis
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
GI Losses - Gastric
 • Vomiting
 • NG suction
GI
Causes of Metabolic Alkalosis ... Differential Diagnosis Algorithm ... tubular transport • Diuretics ... (loop/thiazide) ... Differential #Diagnosis #Algorithm
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Differential Diagnosis Algorithm ... Effects • Thiazide Diuretics ... • Unregulated Conversion ... Differential #Diagnosis #Algorithm ... #Endocrinology
Treatment algorithm for malignancy-associated hypercalcemia.
Hypercalcemia
 - Renal Failure → Dialysis with low Ca++ bath
Aggressive IV hydration
Treatment algorithm ... Volume Overload → Loop ... diuretic IV Bisphosphonate ... hypercalcemia #Treatment #algorithm ... #management #endocrinology