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diagnosis nephrology algorithm metabolic potassium alkalosis cardiology causes comparison ecg effects electrocardiogram elevation gitelman hyponatremia hypotonic lactated lr management nagma
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 #
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
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
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Disorders: • Hyperkalemia ... Tower sign) and low-amplitude ... ST Elevation of Normal ... • Short QT, high ... #ekg #electrocardiogram
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