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management algorithm alkalosis metabolic ascites causes chloride epithelial hepatology hypokalemia hyponatremia kidney low paracentesis pathophysiology polydipsia primary summary syndrome table
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 ... #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
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
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
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... : cell count + differential ... protein, culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... cardiac ascites 1) Sodium
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Diagnosis ECF ... chronic respiratory acidosis ... tubule reabsorptive defect ... furosemide-like lesion) • Gitelman ... #nephrology
Primary Polydipsia Definition: Excessive volitional water intake Epidemiology: • 6-20% of patients with psychiatric disorders - Most commonly
dysfunction - K+ deficits ... diabetes insipidus Differential ... Diagnosis: Diabetes ... Sodium, Urine Sodium ... #management #nephrology
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