7 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Bartter syndrome, Gitelman ... the excretion of sodium ... urine #Algorithm #nephrology ... #differential # ... diagnosis
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Inherited (AR) ... ratio 0.5%) Differential ... Renal tubular acidosis ... #Syndrome #diagnosis ... #nephrology #management
Inherited Defects in Kidney Tubule Epithelial Cells

Renal glucosuria - Na+-dependent glucose cotransporter
Cystinuria - Amino acid transporter
Bartter
Inherited Defects ... ascending limb Gitelman ... renal tubular acidosis ... Defects #Kidney #Nephrology ... #Diagnosis #Differential
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... 4) Serum Uric Acid ... salt wasting By Rachel ... #nephrology #sodium
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
(NAGMA) - Differential ... Diagnosis Framework ... Chloride Intoxication ... #Diagnosis #Workup ... #nephrology
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Diagnosis Algorithm ... - Bartter - Gitelman ... cause metabolic acidosis ... Pathophysiology #Nephrology ... #Chloride
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Metabolic Alkalosis: Differential ... Diagnosis ECF ... chronic respiratory acidosis ... furosemide-like lesion) • Gitelman ... #nephrology