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differential algorithm causes workup hypophosphatemia framework gitelman abg acid acidbase base bloodgas disorders diuresis diuretics excretion gas hyperphosphatemia hyponatremia injury
Hypophosphatemia - Differential Diagnosis Algorithm • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use • Redistribution/
depletion: Respiratory alkalosis ... ), Hungry bone syndrome ... • Renal losses ... Algorithm #causes #nephrology ... #phosphate
Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
t-PA, heparin Acute ... Rhabdomyolysis, Tumor lysis syndrome ... Kidney Disease: • AKI ... CKD Increased Renal ... #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... (AKI) - Differential ... Pre-Renal: • Hypovolemia ... Abdominal Compartment Syndrome ... #nephrology #causes
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
- Differential Diagnosis ... , Acute Respiratory ... Alkalosis, Tumor ... Hyperparathyroidism, TKI ... #Algorithm #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
- Differential Diagnosis ... Algorithm Hypovolemia ... and metabolic alkalosis ... UNa > 20: • Acute ... Algorithm #Causes #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
- Differential Diagnosis ... paraproteinemia, acute ... resp. alkalosis ... FEPO4 ≥ 5% - Renal ... #nephrology
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Transcellular Shifts: - Alkalosis ... Villous adenoma Renal ... Hypomagnesemia, Acute ... #differential #diagnosis ... #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
(renal potassium ... Hypochloremic metabolic alkalosis ... , Renal tubular ... #diagnosis #nephrology ... #management #pathophysiology
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acute or chronic ... Compensation, Acute ... (AG) = {Na - (Cl ... D-lactate (short bowel syndrome ... #Summary #Nephrology
Gitelman Syndrome - Diagnosis and Workup Blood Work: - Hypokalemia - Hypomagnesemia - Metabolic Alkalosis - Elevated
Gitelman Syndrome ... Blood Work: - Hypokalemia ... Hypomagnesemia - Metabolic Alkalosis ... Fractional excretion of Cl ... #nephrology
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