8 results
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
much easier to diagnosis ... with direct urine ... Failure to acidify urine ... #Diagnosis #Management ... #Nephrology #Causes
Hyperkalemic Distal Renal Tubular Acidosis (RTA) Type 4 - 

Failure to acidify urine in collecting duct
Hyperkalemic Distal ... Failure to acidify urine ... #RTA #Type4 #Distal ... #Hyperkalemic #Diagnosis ... #Management #Nephrology
Gitelman Syndrome Pathophysiology
Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
Nacl delivery to distal ... Hypokalemia Metabolic alkalosis ... Contraction → ↑ Renin ↑ Ca ... Pathophysiology #nephrology ... #diagnosis
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... - Metabolic Alkalosis ... Proximal RTA, Distal ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... leukemia Measure Urine ... Glucose, Acute resp. alkalosis ... Fanconi syndrome, CA ... Workup #phosphate #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... arterial volume (↓distal ... lysis) ± Urine ... 20 suggests ↓ distal ... #potassium #nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
mental status • Visual ... may precede the neurologic ... factor PRES Diagnosis ... narrowing on MRA/CTA ... #management #neurology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
of cells on the distal ... Hypochloremic metabolic alkalosis ... Hypocalciuria (spot urine ... Gitelman #Syndrome #diagnosis ... #nephrology #management