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diagnosis nephrology algorithm causes potassium metabolic chloride classification framework gitelman hyperkalemia hyponatremia hypophosphatemia hypotonic management nagma nonaniongap normal pathophysiology phosphate
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... Renal artery stenosis ... Diagnosis #Causes #Workup ... #Nephrology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Algorithm Extra-renal ... • Metabolic acidosis ... Syndrome • HTN, High ... #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
• Normal/low ... settings, the urine sodium ... the excretion of sodium ... urine #Algorithm #nephrology ... #differential #
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
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
(NAGMA) - Differential ... Framework and Workup ... • Serum K high ... - Diarrhea - High ... #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential ... Glucose, Acute resp. alkalosis ... FEPO4 ≥ 5% - Renal ... #phosphate #nephrology
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
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
Causes of Hyperkalemia l. Pseudohyperkalemia A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis B.
Acidosis B. ... the epithelial sodium ... Drug-associated: heparin, low-molecular-weight ... #Differential # ... Diagnosis #High
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