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diagnosis nephrology potassium algorithm hyperkalemia management nongap aniongap gitelman hyponatremia hypotonic k metabolic metabolicacidosis physiologic sodium syndrome treatment
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Proximal and distal RTA ... Syndrome • HTN, High ... Diagnosis #Algorithm #causes ... #nephrology
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 ... Proximal RTA (type ... #differential # ... #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
urinary losses: • High ... - Metabolic acidosis ... : Proximal RTA, ... diagnosis #Algorithm #differential ... #low
Causes of Non-Gap Metabolic Acidosis - Differential Diagnosis Algorithm Normal Anion Gap (<14) (Loss of Bicarbonate) -
Causes of Non-Gap ... Metabolic Acidosis ... - Differential ... Cell Problem - Low ... #Differential #
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... - Metabolic acidosis ... SLE • Type IV RTA ... diagnosis #causes ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... - Metabolic acidosis ... SLE • Type IV RTA ... diagnosis #causes ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Renin/Aldosterone, RTA ... only if no clear cause ... Elimination (see Table ... ) • Low K diet ... Treatment #potassium #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 ... ratio 0.5%) Differential ... Renal tubular acidosis ... (RTA)) • Refeeding ... #management #pathophysiology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... diuresis can be high ... Present (Uosm ≥100): Hypovolemia ... #Hyponatremia #differential ... #diagnosis #table
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