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diagnosis causes nephrology algorithm management chloride potassium urinary acid acidosis classification disorders evaluation gitelman metabolicalkalosis nongap summary syndrome urine workup
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... Remote use of loop ... - Normal/low blood ... pressure: Active ... #Alkalosis #Differential
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Transcellular Shifts: - Alkalosis ... plasma insulin (treatment ... , nasogastric suction ... Villous adenoma Renal ... #Causes #differential
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Algorithm Extra-renal ... • Normal Acid-Base ... • HTN Absent: Loop ... and thiazide diuretics
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis ... Remote use of loop ... /low blood pressure ... : Active diuretic ... poisoning Normal acid-base
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Evaluation and Differential ... 3) Now, look at ... Differential Diagnosis ... Ketoacidosis, Renal ... of H+, Renal loss
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm GI Losses - Gastric • Vomiting • NG suction GI
Causes of Metabolic ... Alkalosis - Differential ... Vomiting • NG suction ... tubular transport • Diuretics ... (loop/thiazide)
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
or low blood pressure ... ratio 0.5%) Differential ... • Seizures • Rhabdomyolysis ... Treatment - ... nephrology #management #pathophysiology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Differential Diagnosis ... , Heat stroke, Metabolic ... Dermatomyositis) AKI - Pathophysiology ... Loop diuretics for ... Dialysis for severe hyperkalemia
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - ... Differential Diagnosis ... Heat stroke - Metabolic ... Loop diuretics for ... #Differential #
Causes of Hypokalemia I. Decreased intake A. Starvation B. Clay ingestion II. Redistribution into
Acid-base ... Metabolic alkalosis ... Renal 1. ... #Differential # ... Diagnosis #Low #
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