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diagnosis nephrology algorithm potassium causes management metabolic alkalosis chloride hyperkalemia hyponatremia hypotonic k metabolicacidosis nagma nonaniongap nongap normal pathophysiology physiologic
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... • Metabolic acidosis ... Proximal and distal RTA ... Bartter syndrome, Gitelman ... #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
• Proximal RTA ... • Distal RTA ... Bartter syndrome, Gitelman ... #differential # ... algorithm #diagnosis #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... Bartter syndrome, Gitelman ... - Metabolic acidosis ... diagnosis #Algorithm #differential ... #low
Renal Tubular Acidosis - Differential Diagnosis Algorithm Decreased Serum K, Urine pH < 5.5 - Proximal RTA Decreased
Renal Tubular Acidosis ... - Differential ... pH > 6.0 - Hypokalemic ... #Differential # ... Diagnosis #Algorithm #nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
Normal Anion-Gap Acidosis ... (NAGMA) - Differential ... : • Low HCO3 ... Metabolic #NAGMA #Differential ... Diagnosis #Workup #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
alkalosis • Normal or low ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... Renal tubular acidosis ... (RTA)) • Refeeding
Causes of Non-Gap Metabolic Acidosis - Differential Diagnosis Algorithm Normal Anion Gap (<14) (Loss of Bicarbonate) -
Non-Gap Metabolic Acidosis ... - Differential ... Loss (Negative urine ... Cell Problem - Low ... #Differential #
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... Bartter syndrome, Gitelman ... Urine chloride is ... #Algorithm #nephrology ... #differential #
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Renin/Aldosterone, RTA ... lysis) ± Urine ... Elimination (see Table ... ) • Low K diet ... Treatment #potassium #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... Present (Uosm ≥100): Hypovolemia ... #Hyponatremia #differential ... #diagnosis #table ... #sodium #nephrology
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