12 results
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... Alkalosis - Differential ... Urine Cl-: Vomiting ... (late) • High Urine ... #Primary #Metabolic
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Management of Pediatric ... protein - Low ... Targeted Rx: • PRIMARY ... #Management #Pediatrics ... #nephrology #nephrolithiasis
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... mEq/g suggests urinary ... ↑ Aldosterone: Primary ... - Metabolic Alkalosis ... #nephrology #low
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Alkalosis - Differential ... Urine Cl-: Vomiting ... (late) • High Urine ... Diagnosis #Algorithm #Nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
- Urinary Chloride ... • Normal/low ... , Gitelman syndrome ... of sodium and potassium ... #Urinary #Chloride
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
leukemia Measure Urine ... Glucose, Acute resp. alkalosis ... Normal or High PTH: Primary ... • Normal or Low ... - Normal or Low
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
volume contracted: urine ... volume expanded: urine ... > 20 meq/L • Primary ... other • Severe potassium ... Diagnosis #Causes #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Alkalosis - Differential ... Urine Cl-: Vomiting ... (late) • High Urine ... Diagnosis #Algorithm #Nephrology
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
osmotic diuresis, Potassium ... Hypercalcemic states ... , Primary or secondary ... differential #diagnosis #nephrology ... #magnesium #low
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Overview What ... • Normal or low ... Hypocalciuria (spot urine ... Supplement: • Potassium ... #diagnosis #nephrology