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diagnosis nephrology algorithm causes metabolic nongap potassium alkalosis comparison effects gitelman hyponatremia hypotonic lactated lr management metabolicacidosis nagma nonaniongap ns
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
/low blood pressure ... , a high urine chloride ... settings, the urine sodium ... the excretion of sodium ... #differential #
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 ... loads (ammonium chloride ... exchange resins #aniongap ... #Acidosis #differential
Low Anion Gap - Various causes and mechanisms of a Low Anion Gap • Hypoalbuminemia (1gm
anion gap) • Normal ... anion gap acidosis ... • High Calcium ... #AnionGap #causes ... #differential #
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Extra-renal Losses: • Normal ... • Metabolic acidosis ... Syndrome • HTN, High ... #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
Ringers (LR) vs Normal ... 1.5 mEq/L • Chloride ... Is Dangerous in Hyperkalemia ... densa receives high ... decreased renal blood flow
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
) - Differential ... Chloride Intoxication ... • Serum K high ... - Diarrhea - High ... Diagnosis #Workup #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... Metabolic alkalosis • Normal ... or low blood pressure ... ratio 0.5%) Differential ... Renal tubular acidosis
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
urinary losses: • High ... /Normal Blood Pressure ... - Metabolic acidosis ... diagnosis #Algorithm #differential ... #low
Causes of Non-Gap Metabolic Acidosis - Differential Diagnosis Algorithm Normal Anion Gap (<14) (Loss of Bicarbonate) -
Non-Gap Metabolic Acidosis ... - Differential ... Diagnosis Algorithm Normal ... Cell Problem - Low ... #Nephrology #Differential
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
remember than the normal ... diuresis can be high ... Present (Uosm ≥100): Hypovolemia ... #Hyponatremia #differential ... #nephrology
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