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diagnosis causes algorithm high hypokalemia treatment diuresis excretion gitelman indications k low metabolic pathophysiology pharmacology renal rhabdomyolysis secondary urinary urine
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... • Refeeding syndrome ... • Discontinued diuretic ... Diagnosis #Algorithm #nephrology ... #low #potassium
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
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Metabolic alkalosis ... irrigation • Management ... Hyponatremia • Hypercalcemia ... #Nephrology #Pharmacology ... #Medications #Table
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... and edema • Jaundice ... • K sparing diuretics ... Medications 2. ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... and edema • Jaundice ... • K sparing diuretics ... Medications 2. ... #high #nephrology
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
- Workup and Differential ... classes, including a diuretic ... with previously stable ... and metabolic alkalosis ... Neurologic disorders
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... Elimination (see Table ... Use gtt, NOT hypertonic ... #Treatment #potassium ... #nephrology #K
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
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