14 results
diagnosis differential algorithm hypokalemia metabolicalkalosis abg acid acidbase alkaliintake base bloodgas bloodgasanalysis chloride distantdiuretics elevated endocrinecause endocrinecauses excretion gas gitelmansyndrome
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
intake, Diuretics ... -: Diuretics, Bartter ... Syndrome, Gitelman ... Syndrome Volume ... , Liddle syndrome
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
intake, Diuretics ... -: Diuretics, Bartter ... Syndrome, Gitelman ... Syndrome Volume ... , Liddle syndrome
Blood gas analysis Metabolic alkalosis Measured urine CI < 10 mEq/L Saline responsive > 10 mEg/L Not saline responsive - Vomiting or NG
alkalosis Measured ... excess - Distant diuretics ... - Bartter syndrome ... - Gitelman syndrome ... intake - Recent diuretics
Approach to Elevated Bicarbonate (HCO3) Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?) (+)
, CNS/muscular disorders ... Adenoma • Remote Diuretics ... Hyperaldosteronism • Recent Diuretics ... Barter, or Gitelman ... Syndrome Unremarkable
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Transcellular Shifts: - Alkalosis ... , Bartter's syndrome ... use), Gitelman's ... syndrome (mimics ... excess and related syndromes
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
intake, Diuretics ... -: Diuretics, Bartter ... Syndrome, Gitelman ... Syndrome Euvolemic ... , Liddle syndrome
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... Thiazide or loop diuretics ... diuretic effect ... Thiazide or loop diuretics ... syndrome (defective
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome ... and nephrotic syndrome ... and nephrotic syndrome ... disease • Liddle syndrome ... #Diuresis #Nephrology
Gitelman Syndrome - Diagnosis and Workup Blood Work: - Hypokalemia - Hypomagnesemia - Metabolic Alkalosis - Elevated
Gitelman Syndrome ... Alkalosis - Elevated ... Normotensive - No diuretic ... #Syndrome #Diagnosis ... #Workup #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis ... loop or thiazide diuretics ... pressure: Active diuretic ... use, Bartter syndrome ... , Gitelman syndrome
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