35 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
to diarrhea, a high ... Urine chloride is high ... , a high urine chloride ... of sodium and potassium ... urine #Algorithm #nephrology
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute ... Managment: • Pain ... : Liver and/or kidney ... #Pediatrics #nephrology
Renal Tubular Acidosis (RTA) 
Type 1 - Failure of secretion
Type 2 - Bicarbonate wasting
Type 4 -
Renal Tubular Acidosis ... proximal features and high ... Renal #Tubular #Acidosis ... #RTA #types #classification ... #nephrology #diagnosis
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
minutes) Decrease potassium ... • IV Fluids Shift ... potassium intracellularly ... #Hyperkalemia #management ... #potassium #nephrology
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... bicarbonate if acidosis ... Dialysis Serum potassium ... blocks, QRS axis shift ... #high #diagnosis
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
the basis of the potassium-to-creatinine ... creatinine) • Cell shift ... ↑ Aldosterone: Kidney ... hypokalemia #urine #potassium ... algorithm #diagnosis #nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Causes of High-anion ... Causes of High-anion ... Chronic progressive kidney ... Potassium-sparing ... diagnosis #causes #nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Transcellular Shift ... : • Lactic acidosis ... , DKA Kidney Disease ... Workup #phosphate #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
• Metabolic acidosis ... • Metabolic acidosis ... Syndrome • HTN, High ... Algorithm #causes #potassium ... #low #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... • Recent IV potassium ... Intracellular Shift ... - Metabolic acidosis ... #high #nephrology