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differential hypokalemia algorithm metabolic alkalosis low aniongap chloride diuresis diuretics excretion gitelman hyperkalemia k medications nongap pathophysiology rhabdomyolysis table urinary
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Gl tract loss (Diarrhea ... ) Renal Losses: ... #Algorithm #causes ... #potassium #low ... #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
, Gitelman syndrome ... the indicated causes ... of sodium and potassium ... urine #Algorithm #nephrology ... #differential #diagnosis
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... suggests extra-renal ... use • Diarrhea ... - Metabolic acidosis ... #nephrology #low
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Diarrhea B. ... Renal acidosis ... Chronic progressive kidney ... Potassium-sparing ... #causes #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... Chloride-rich diarrhea ... chronic respiratory acidosis ... other • Severe potassium ... #Causes #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Summary Causes ... nephrotoxicity to kidney ... Monitor potassium ... #Management #causes ... #treatment #nephrology
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
plasma insulin (treatment ... nasogastric suction, Diarrhea ... tubular acidosis ... #differential #diagnosis ... #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Diagnosis of ... irrigation • Management ... stones caused by ... Excretion #Diuresis #Nephrology ... #Pharmacology #
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... 15 suggests ↓ renal ... only if no clear cause ... #Management #Treatment ... #potassium #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
acidosis (RTA)) ... Congenital chloride diarrhea ... Rhabdomyolysis Treatment ... #diagnosis #nephrology ... #management #pathophysiology
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