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diagnosis algorithm hypokalemia management causes chloride syndrome treatment urine acromegaly alkalosis druginduced encephalopathy gitelman hyperkalemia hypochloremia low medications metabolic neurology
Mechanisms of Drug-Induced Hyperkalemia • Direct renin inhibitor (Aliskiren) • Renin release inhibition (NSAIDs, Beta-Blockers)
• Exogenous (KCL ... #hyperkalemia #differential ... #diagnosis #pathophysiology ... #pharmacology #potassium
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Normotensive: • UCl ... #Hypokalemia #Differential ... Diagnosis #Algorithm #nephrology ... #causes #low #potassium
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
the basis of the potassium-to-creatinine ... • Low Urine Cl ... hypokalemia #urine #potassium ... #differential # ... algorithm #diagnosis #nephrology
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Hypochloremia - Differential ... pressure: - Cl ... Hypochloremia #Differential ... Diagnosis #Algorithm #Pathophysiology ... #Nephrology #Chloride
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Chloride Algorithm Cl ... Kidney loss of Cl ... of sodium and potassium ... urine #Algorithm #nephrology ... #differential #
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... urine output: 200 ml ... Monitor potassium ... Rhabdomyolysis #Differential ... causes #treatment #nephrology
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
malignancy Pathophysiology ... Differential Diagnosis ... levels to <1ng/mL ... Diagnosis #Management #Endocrinology ... #Treatment #Pathophysiology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Etiology: • Pathophysiology ... Anterior circulation: MCA ... Reversible course Differential ... diagnosis #management #neurology
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
1.6, low urine Cl ... 0.7, high urine Cl ... correcting serum potassium ... hypokalemia #diagnosis #differential ... #algorithm #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Hypokalemia (renal potassium ... ratio 0.5%) Differential ... Supplement: • Potassium ... Syndrome #diagnosis #nephrology ... #management #pathophysiology
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