14 results
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
loop or thiazide diuretics ... pressure: Active diuretic ... use, Bartter syndrome ... , Gitelman syndrome ... #Diagnosis #Algorithm
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Diagnosis Algorithm ... Cl intake, Diuretics ... -: Diuretics, Bartter ... Syndrome, Gitelman ... #Diagnosis #Algorithm
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... Loop and thiazide diuretics ... , Bartter syndrome ... , Gitelman syndrom ... #Algorithm #causes
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Diagnosis Algorithm ... Cl intake, Diuretics ... -: Diuretics, Bartter ... Syndrome, Gitelman ... #Nephrology #Causes
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Algorithm Cl- ... loop or thiazide diuretics ... : Active diuretic ... use, Bartter syndrome ... , Gitelman syndrome
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Gitelman Syndrome ... with thiazide diuretic ... or low blood pressure ... Surreptitious diuretic ... #Syndrome #diagnosis
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Diagnosis Algorithm ... >20 mEq/24 h - Diuretics ... , Gitelman's syndrome ... #Algorithm #nephrology ... #causes #low #potassium
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Diagnosis Algorithm ... Cl intake, Diuretics ... -: Diuretics, Bartter ... Syndrome, Gitelman ... #Nephrology #Causes
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 ... #Diagnosis #Causes
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Gitelman Syndrome ... Alkalosis - Elevated ... Normotensive - No diuretic ... #Syndrome #Diagnosis ... #Workup #nephrology