13 results
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Algorithm - Urinary ... Chloride • Cl- ... Kidney loss of Cl ... - Loss of Cl ... Cystic fibrosis) • Cl
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... Algorithm Volume ... hyperaldosteronism • Low Urine Cl ... NGT suction, Low Cl ... • High Urine Cl
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Algorithm Volume ... hyperaldosteronism • Low Urine Cl ... NGT suction, Low Cl ... • High Urine Cl
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Algorithm Cl- ... Kidney loss of Cl ... alkalosis • Loss of Cl ... Cystic fibrosis Cl ... #differential #diagnosis
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Algorithm Hypertensive ... R - Primary aldosteronism ... Normotensive: • UCl ... Post-hypercapnia • UCl ... >20 mEq/24 h - Diuretics
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Gas) (-) Likely Metabolic ... Contraction Urine Cl ... Mineralocorticoid • Primary ... #alkalosis #algorithm ... #diagnosis
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
resistance • Metabolic ... disequilibrium syndrome • Diagnosis ... irrigation • Management ... Inhibitors of Na+K+2Cl ... insipidus • Primary
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Algorithm Volume ... hyperaldosteronism • Low Urine Cl ... NGT suction, Low Cl ... • High Urine Cl
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
its Chloride (Cl ... are balanced by Cl ... high amount of Cl ... The high CL- content ... #management #diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
ADLs - Highest metabolic ... algorithm to determine ... Intraabdominal - Orthopedic ... medical and surgical management ... stratification #diagnosis