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diagnosis nephrology causes treatment hypokalemia acidosis algorithm excretion gitelman hypotonic k low medications nongap pathophysiology pharmacology physiologic sodium summary syndrome
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Chronic progressive kidney ... Drug-induced hyperkalemia ... Potassium-sparing ... diuretics (amiloride ... #NonGap #Metabolic
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
resistance • Metabolic ... ; High-Ceiling Diuretics ... • Hypercalcemia ... #Diuresis #Nephrology ... #Table
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Sodium loss (diuretics ... diuresis can be ... high or low Uosm ... diuresis) RAAS ... #differential #
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Heat stroke - Metabolic ... - Toxins - Drugs ... nephrotoxicity to kidney ... Monitor potassium ... Loop diuretics for
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... reactions Common Drugs ... • K sparing diuretics ... Medications 2. ... #high #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
, Heat stroke, Metabolic ... Drugs (Statins), ... Dermatomyositis) AKI ... Monitor potassium ... Loop diuretics for
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... reactions Common Drugs ... • K sparing diuretics ... Medications 2. ... #high #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... suggests extra-renal ... urinary losses: • High ... Alkalosis: Emesis, Diuretics ... #potassium #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
G-K), K-sparing diuretics ... improve GFR - Diuresis ... hypertonic Amp IVP • Diuretics ... (IV loop diuretic ... - IV loop diuretic
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
with thiazide diuretic ... (renal potassium ... ratio 0.5%) Differential ... Surreptitious diuretic ... #management #pathophysiology
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