17 results
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis ... Remote use of loop ... pressure: Active ... acidosis: Diabetic ... #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 ... tubular acidosis ... #Causes #differential
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... Remote use of loop ... /low blood pressure ... : Active diuretic ... acidosisDiabetic
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Algorithm Extra-renal ... acidosis: Gl tract ... • HTN Absent: Loop ... and thiazide diuretics
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Gap Metabolic Acidosis ... , ileal loop ... Renal acidosis ... Potassium-sparing diuretics ... #Acidosis #differential
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Evaluation and Differential ... 3) Now, look at ... Metabolic Acidosis ... Gap Metabolic Acidosis ... of H+, Renal loss
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 ... tubular acidosis ... • Seizures • Rhabdomyolysis ... Treatment -
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Alkalosis: Differential ... vomiting/ nasogastric suction ... chronic respiratory acidosis ... renal tubule diuretic ... #Alkalosis #Differential
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)
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