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diagnosis causes nephrology algorithm alkalosis chloride high hyperkalemia hypomg syndrome urinary acidosis aniongap classification drugs gitelman hypokalemia low magnesium management
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
- Differential ... Gitelman syndrome, Hypomagnesemia ... acidosis: Chronic ... diarrhea, Kidney ... acidosis: Diabetic
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
GI losses - Chronic ... diarrhea / IBD ... Renal Loses - Medications ... - Uncontrolled diabetes ... #Differential #
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Gitelman syndrome, Hypomagnesemia ... acidosis • Chronic ... acidosis • Diabetic ... of sodium and potassium ... Algorithm #nephrology #differential
Causes of Hypomagnesemia Redistribution: - IV glucose - Correction of diabetic ketoacidosis - IV hyperalimentation - Refeeding
Correction of diabetic ... biliary fistula - Diarrhea ... osmotic diuresis - Potassium ... Causes #diagnosis #differential ... #medications #drugs
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Non-anion Gap Metabolic ... Ketoacidosis: Diabetic ... Diarrhea B. ... Potassium-sparing ... #Acidosis #differential
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... • Recent IV potassium ... (Uncontrolled diabetes ... infusions) - Metabolic ... Medications 2.
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... • Recent IV potassium ... (Uncontrolled diabetes ... infusions) - Metabolic ... Medications 2.
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
from hormonal and metabolic ... Malnutrition due to chronic ... Poorly controlled diabetes ... Palpitations • Diarrhea ... #Diagnosis #Pathophysiology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
• Metabolic alkalosis ... Hypochloremic metabolic ... ratio 0.5%) Differential ... Congenital chloride diarrhea ... nephrology #management #pathophysiology
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