11 results
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift ... : • Alkalosis ... vomiting) • Low ... #nephrology #low ... #potassium
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Differential Diagnosis Algorithm ... Urine Cl-: Vomiting ... (late) • High Urine ... #Nephrology #Causes
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Algorithm for patients ... creatinine) • Cell shift ... #potassium #differential ... #algorithm #diagnosis ... #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... A urine K/Cr ratio ... • Diarrhea A urine ... - Metabolic Alkalosis ... #nephrology #low
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
intake, Gl loss, shift ... Hypomagnesemia #algorithm ... differential #diagnosis #causes ... #nephrology #magnesium ... #low
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... • Normal/low ... the indicated causes ... of sodium and potassium ... #Algorithm #nephrology
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
no respiratory cause ... Hearing loss, Dizziness ... Acidosis, Respiratory Alkalosis ... Potassium, Low ... Resuscitation 2) Urine
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Differential Diagnosis Algorithm ... Urine Cl-: Vomiting ... (late) • High Urine ... #Nephrology #Causes
Causes of Hypokalemia - Differential Diagnosis Algorithm
Decreased intake (rare cause in isolation)
GI loss - Urine loss
Differential Diagnosis Algorithm ... isolation) GI loss - Urine ... Transcellular shift ... #Hypokalemia #Nephrology ... Differential #Diagnosis #Algorithm
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Muscle weakness, dizziness ... • Normal or low ... Hypocalciuria (spot urine ... Supplement: • Potassium ... Syndrome #diagnosis #nephrology