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management differential algorithm causes diuretics excretion gitelman hematology hyperkalemia hypernatremia hypokalemia hyponatremia hypotonic leukostasis lysis medications pathophysiology pharmacology physiologic potassium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine Na+K ... , Post-AKI diuresis ... #differential #diagnosis ... #table #sodium ... #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... • Euvolemic (Low ... , Cushing syndrome ... Workup #Algorithm #nephrology ... #sodium
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, K-sparing diuretics ... , RTA Type IV, AI ... Elimination (see Table ... acidosis) • Low ... #potassium #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Diagnosis of ... Inhibitors of Na+K+ ... Tolvaptan) • Treatment ... #Nephrology #Pharmacology ... #Medications #Table
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
• Triggers: Diuretics ... fever - ACS, AKI ... values: Elevated K, ... , Elevated Cr, Low ... #TLS #diagnosis
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... declines > ALT) • AKI ... + myoglobin AKI ... Loop diuretics for ... #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... alkalosis • Normal or low ... Rhabdomyolysis Treatment ... #diagnosis #nephrology
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