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diagnosis causes hyperkalemia algorithm metabolic acidosis aniongap chloride diuresis diuretics framework hypophosphatemia medications nongap pharmacology phosphate renal table urinary workup
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
metabolic acidosis • Chronic ... metabolic acidosis • Diabetic ... of sodium and potassium ... #Algorithm #nephrology ... #differential #
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
excretion • Acute ... renal failure • Chronic ... • Drugs • Diabetic ... Diagnosis #algorithm #nephrology ... #potassium #differential
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Hyperkalemia - Reduced Excretion ... nephron - TTKG > 7, Urine ... Creatinine • Chronic ... Aldosterone • Diabetic ... #Nephrology #Differential
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
leukemia Measure Urine ... Fractional Excretion ... Malabsorption, Chronic ... Glucose, Acute resp. alkalosis ... Workup #phosphate #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... (Uncontrolled diabetes ... Impaired Renal Excretion ... Medications 2. ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... (Uncontrolled diabetes ... Impaired Renal Excretion ... Medications 2. ... #high #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Regulating Renal Excretion ... • Metabolic alkalosis ... Loop Diuretics; High-Ceiling ... #Diuresis #Nephrology ... #Pharmacology #Medications
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Ketoacidosis: Diabetic ... Potassium-sparing ... ketosis with ketone excretion ... Metabolic #Acidosis #differential ... diagnosis #causes #nephrology
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