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diagnosis causes algorithm hypokalemia treatment high rhabdomyolysis alkalosis chloride diuretics gitelman k low medications metabolic pathophysiology pharmacology renal summary urinary
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
- Differential ... the existence of hypertension ... Post-hypercapnia • Diuretics ... algorithm #causes #nephrology ... #potassium
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm Hypertensive ... >20 mEq/24 h - Diuretics ... #Algorithm #nephrology ... #causes #low #potassium
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Regulating Renal Excretion ... irrigation • Management ... Hyponatremia • Hypercalcemia ... #Diuresis #Nephrology ... #Medications #Table
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... and edema • Jaundice ... • K sparing diuretics ... - Tumor lysis syndrome ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... and edema • Jaundice ... • K sparing diuretics ... - Tumor lysis syndrome ... #high #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Framework and Management ... injured muscles - HYPOTENSION ... Monitor potassium ... Loop diuretics for ... causes #treatment #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... injured muscles -> HYPOTENSION ... Monitor potassium ... Loop diuretics for ... Dialysis for severe hyperkalemia
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
• ↓ Renal K+ Excretion ... suggests ↓ renal excretion ... Elimination (see Table ... #Treatment #potassium ... #nephrology #K
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
, Gitelman syndrome ... Hypomagnesemia • Hypertension ... of sodium and potassium ... urine #Algorithm #nephrology ... #differential #
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 ... #diagnosis #nephrology ... #management #pathophysiology
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