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diagnosis nephrology causes hyperkalemia high metabolic acidosis alkalosis aniongap chloride classification gitelman hyponatremia initiation intercellularshift kdigo low management monitoring nongap
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic ... algorithm Decreased ... renal failure • Chronic ... #nephrology #potassium ... #differential
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
ACEI or ARB Initiation ... Hyperkalemia: ... drugs - Moderate potassium ... Consider: diuretics, sodium ... #monitoring #algorithm
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
failure (acute and chronic ... Chronic progressive ... Potassium-sparing ... ACE-Is and ARBs ... Metabolic #Acidosis #differential
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... • NSAIDs • ACE ... • Recent IV potassium ... #differential # ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... • NSAIDs • ACE ... • Recent IV potassium ... #differential # ... #high #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Diagnosis Algorithm ... Creatinine • Chronic ... Aldosterone • ACEi ... /ARB • Adrenal
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
• Inherited (AR) ... thiazide-sensitive sodium ... thiazide-sensitive sodium ... (renal potassium ... ratio 0.5%) Differential
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... settings, the urine sodium ... the excretion of sodium ... and potassium acid ... #nephrology #differential
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... Hyponatremia: • Hypovolemia ... Nephrotic Syndrome, Chronic ... #causes #nephrology ... #sodium #low
Causes of Hyperkalemia l. Pseudohyperkalemia A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis B.
combination with ACE ... receptor blockers [ARBs ... the epithelial sodium ... #Differential # ... Diagnosis #High #Potassium
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