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Renal Tubular Acidosis (RTA) Diagnosis and Management
 • Distal (type 1) RTA
 • Proximal (type 2)
Renal Tubular Acidosis ... and Management ... • Hyperkalemic ... rta #Renal #Tubular ... #Management #nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
oxoproline) • Renal ... Renal acidosis ... Proximal RTA (type ... #NonGap #Metabolic ... diagnosis #causes #nephrology
Hyperkalemic Distal Renal Tubular Acidosis (RTA) Type 4 - 

Failure to acidify urine in collecting duct
Hyperkalemic Distal ... Renal Tubular Acidosis ... (RTA) Type 4 - ... #Diagnosis #Management ... #Nephrology #RenalTubular
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
suggests extra-renal ... losses: • High Blood ... - Metabolic acidosis ... : Proximal RTA, ... Distal RTA, DKA
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Crush injury • Blood ... - Metabolic acidosis ... SLE • Type IV RTA ... Blood transfusion ... potassium #high #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Crush injury • Blood ... - Metabolic acidosis ... SLE • Type IV RTA ... Blood transfusion ... potassium #high #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
post-hypothermia • ↓ Renal ... Excretion: - Renal ... Renin/Aldosterone, RTA ... 15 suggests ↓ renal ... Treatment #potassium #nephrology
Continuous Renal Replacement Therapy (CRRT) - Overview
Types of CRRT
 • CVVHD - Continuous Veno-Venous hemodialysis -
Continuous Renal ... by AEIOU: A: acidosis ... electrolytes (essentially hyperkalemia ... with hemodynamic instability ... #Management
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
(AIEOU): • A: Acidosis ... derangements (hyperkalemia ... , hypercalcemia, ... #Therapy #RRT #managment ... #nephrology #CRRT
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Normal or low blood ... (renal potassium ... tubular acidosis ... (RTA)) • Refeeding ... #management #pathophysiology