26 results
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
High Anion Gap Metabolic ... salicylate toxicity causes ... ketoacidosis Renal ... acids in advanced renal ... GOLDMARK #mnemonic #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Intracellular Shift ... Metabolic alkalosis ... Renal artery stenosis ... Algorithm #Diagnosis #Causes ... #Workup #Nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Algorithm Extra-renal ... loss (Diarrhea) Renal ... Syndrome • HTN, High ... Diagnosis #Algorithm #causes ... potassium #low #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Diuretics (late) • High ... PRA: Renal artery ... Diagnosis #Algorithm #Nephrology ... #Causes
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
GI Losses - Gastric
 • Vomiting
 • NG suction
GI
Causes of Metabolic ... Chloridorrhea Renal ... • Penicillins Renal ... MetabolicAlkalosis #NonGap #Nephrology ... Diagnosis #Algorithm #Causes
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
0.8 Normal + High ... 0.8-2.0 Pure High ... of High Anion Gap ... - Diarrhea - Renal ... Diagnosis #Summary #Nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... Intracellular Shift ... infusions) - Metabolic ... differential #diagnosis #causes ... #nephrology
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
Hypokalemia - Shift ... - Insulin (high ... pump inhibitor - Renal ... differential #diagnosis #nephrology ... #Causes #hypomg
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
cells - Normal • Renal ... - Up to 3 per high-power ... normal; >3 per high-power ... crystals may indicate metabolic ... key #diagnosis #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Saline (NS) - Comparison ... transcellular shift ... • Saline Causes ... densa receives high ... • Saline May Cause