12 results
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Evaluation and Differential ... or alkalotic than ... Differential Diagnosis ... Disorders #Evaluation #workup ... #Differential #
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... settings, the urine sodium ... the excretion of sodium ... urine #Algorithm #nephrology ... #differential #
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... Metabolic alkalosis ... Diagnosis #Causes #Workup ... #Nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... ↑ ↓ Resp Alkalosis ... Step 5 - Differential ... Diagnosis #Summary #Nephrology ... Base #Gas #VBG #differential
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diabetes Insipidus Workup ... Hypernatremia #Management ... #Algorithm #Sodium ... #nephrology #insipidus
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
(NAGMA) - Differential ... Framework and Workup ... Calculate Anion Gap - UAG ... #Diagnosis #Workup ... #nephrology
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... Beta-Agonists, ↑ work ... toxic alcohols, Sodium ... • Presents as AG ... #Differential #
Patients with CHD are exceptionally sensitive to the effects of bronchiolitis on their volume status
Four principles
phenylephrine to a 1L bag ... Anxiolysis to improve work ... kg. 3.Correct acidosis ... Give IV sodium bicarbonate ... #Management #Peds
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
thiazide-sensitive sodium ... ratio 0.5%) Differential ... Renal tubular acidosis ... Syndrome #diagnosis #nephrology ... #management #pathophysiology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
3 questions to work ... approach to the differential ... #Hyponatremia #Differential ... Diagnosis #Treatment #management ... #nephrology #sodium