8 results
diagnosis nephrology differential alkalosis metabolic potassium comparison effects gitelman hyponatremia hypotonic lactated low lr management normal ns pathophysiology pharmacology physiologic
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Algorithm Cl- ... Urine chloride is ... the indicated causes ... , a high urine chloride ... #urine #Algorithm
Renal Tubular Acidosis - Differential Diagnosis Algorithm Decreased Serum K, Urine pH < 5.5 - Proximal RTA Decreased
Renal Tubular Acidosis ... Differential Diagnosis Algorithm ... pH > 6.0 - Hypokalemic ... Acidosis • Urine ... #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... distal convoluted tubule ... Hypocalciuria (spot urine ... acidosis (RTA))
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... • Renal tubular ... acidosis (type ... #causes #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
1.5 mEq/L • Chloride ... Is Dangerous in Hyperkalemia ... shift • Saline Causes ... Decreased GFR, urine ... • Saline May Cause
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... A urine K/Cr ratio ... • Diarrhea A urine ... - Metabolic acidosis
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... chronic respiratory acidosis ... diuretics after renal tubule ... indicates a renal tubule ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Urine Na+K / serum ... Present (Uosm ≥100): Hypovolemia ... #nephrology
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