10 results
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Urine Cl-: Vomiting ... Cl intake, Diuretics ... • High Urine Cl ... #Nephrology #Causes
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic Alkalosis ... Urine Cl-: Vomiting ... Cl intake, Diuretics ... • High Urine Cl ... #nephrology
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Urinary Chloride • Cl ... Kidney loss of Cl ... - Loss of Cl ... - Normal/low ... #causes #urinary
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Al, Low R - Pseudo-hyperaldosteronism ... Normotensive: • UCl ... Post-hypercapnia • UCl ... >20 mEq/24 h - Diuretics ... #nephrology #causes
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... Intake: • Low ... - Metabolic alkalosis ... RENAL LOSS: - Diuresis ... Pathophysiology #Nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Cl- responsive ... Kidney loss of Cl ... • Loss of Cl- ... Cystic fibrosis Cl ... • Normal/low
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Urine Cl-: Vomiting ... Cl intake, Diuretics ... • High Urine Cl ... #Nephrology #Causes
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
• Metabolic alkalosis ... Inhibitors of Na+K+2Cl ... Kidney stones caused ... #Nephrology #Pharmacology ... #Medications #Table
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Antibiotics (Bactrim, PCN ... only if no clear cause ... Elimination (see Table ... acidosis) • Low ... Treatment #potassium #nephrology
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 • Vomiting: urine Na/Cl > 1.6, low urine
> 1.6, low urine ... Cl; • Laxative ... : urine Na/Cl < ... 0.7, high urine Cl ... #nephrology