23 results
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Diagnosis Algorithm ... Transcellular Shift ... vomiting) • Low K ... #Algorithm #nephrology ... #low #potassium
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Urine K+ <13 mEq ... creatinine) • Cell shift ... Bartter syndrome, Gitelman ... #urine #potassium ... #diagnosis #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... suggests extra-renal ... Bartter syndrome, Gitelman ... #diagnosis #Algorithm ... #nephrology #low
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
- Differential Diagnosis ... Algorithm Defining ... loss • Renal ... Bartter's syndrome, Gitelman's ... #nephrology #potassium
Hypokalemia Diagnostic Algorithm
To assess potassium excretion: perform 24-hour urine collection or alternatively obtain potassium-to-creatinine ratio on
Hypokalemia Diagnostic ... Algorithm To assess ... values suggest renal ... #Hypokalemia #Diagnosis ... #nephrology #low
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
(renal potassium ... Hypocalciuria (spot urine ... Rhabdomyolysis Treatment ... #Syndrome #diagnosis ... #nephrology #management
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Gitelman Syndrome ... : - Hypokalemia ... Elevated Renin Urine ... K+ wasting - Inappropriate ... #Workup #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... Extra-renal Losses ... Bartter syndrome, Gitelman ... #potassium #low ... #nephrology
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
- Differential Diagnosis ... Algorithm Decreased ... Serum K, Urine ... - Hypokalemic distal ... #Algorithm #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Diagnosis Framework ... • Recent IV potassium ... Intracellular Shift ... #causes #potassium ... #high #nephrology