72 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
Hypokalemia Differential Diagnosis Algorithm

Low intake 
• poor oral intake 

Renal loss 
• Medication 
• Hypomagnesemia 
•
oral intake Renal ... Nonreabsorbable anions • Renal ... Transcellular shift ... Diagnosis #Algorithm #Causes ... #Classification
Hyperphosphatemia - Differential Diagnosis Algorithm
Transcellular Shift:
 • Rhabdomyolysis
 • Tumor Lysis
 • Metabolic or Respiratory Acidosis
Transcellular Shift ... Tumor Lysis • Metabolic ... PO4 < 20%: • Renal ... Context of Impaired Renal ... endocrinology #causes
Renal Tubular Acidosis (RTA) 
Type 1 - Failure of secretion
Type 2 - Bicarbonate wasting
Type 4 -
Renal Tubular Acidosis ... proximal features and high ... salt diet #Renal ... Acidosis #RTA #types #classification ... #nephrology #diagnosis
Hyperkalemia - Differential Diagnosis Framework

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