12 results
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Algorithm Extra-renal ... Losses: • Normal Acid-Base ... Syndrome • HTN, High ... #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... - Low Uric Acid ... → SIADH - High ... Uric Acidrenal ... #sodium #low #uricacid
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
• Normal/low ... poisoning Normal acid-base ... the excretion of sodium ... and potassium acid ... #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 ... , Pyroglutamic acid ... Renal acidosis ... #differential #
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Differentials? ... 0.8 Normal + High ... Diagnosis #Summary #Nephrology ... ABG #bloodgas #Acid
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
suggests extra-renal ... urinary losses: • High ... - Metabolic Alkalosis ... - Metabolic acidosis ... diagnosis #Algorithm #differential
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
lactate NOT lactic acid ... Is Dangerous in Hyperkalemia ... densa receives high ... filtration - Renal ... blood flow and
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
thiazide-sensitive sodium ... • Normal or low ... (renal potassium ... ratio 0.5%) Differential ... tubular acidosis
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Hypochloremia - Differential ... Decreased Intake: • Low ... - Metabolic alkalosis ... - Diarrhea • RENAL ... cause metabolic acidosis
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Sodium loss (diuretics ... diuresis can be high ... Present (Uosm ≥100): Hypovolemia ... #Hyponatremia #differential ... #nephrology