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diagnosis potassium low management high hyponatremia nongap table urinary urine acidosis aniongap diuretics excretion gitelman hypotonic intercellularshift medications metabolicalkalosis pharmacology
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... plasma insulin (treatment ... (mimics loop diuretic ... or induced) #Hypokalemia ... #Causes #differential
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... Remote use of loop ... or thiazide diuretics ... diuretic use, Bartter ... #Alkalosis #Differential
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Causes of Metabolic ... Alkalosis - Differential ... fibrosis • Remote diuretic ... resistant: • Current diuretic ... #Alkalosis #Causes
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Remote use of loop ... or thiazide diuretics ... blood pressure: Active ... diuretic use, Bartter ... #nephrology #differential
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Renal losses, Diuretic ... tubal acidosis and metabolic ... alkalosis, Ketonuria ... , Osmotic diuresis ... #Causes #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
with thiazide diuretic ... Family history of hypokalemia ... • Unexplained hypokalemia ... Surreptitious diuretic ... #Hypokalemia
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... • Refeeding syndrome ... • Discontinued diuretic ... MatthewHoMD #Hypokalemia ... #nephrology #low
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... • HTN Absent: Loop ... and thiazide diuretics ... @priti899 #Hypokalemia ... #low #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... Alkalosis: Differential ... diuretics after ... renal tubule diuretic ... diuretics actively
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Causes of High-anion ... Hypokalemia ... Hyperkalemia ... Drug-induced hyperkalemia ... Potassium-sparing diuretics
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