10 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
• Normal/low ... high in kidney tubular ... in the proximal tubule ... urine #Algorithm #nephrology ... #differential #
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
- Differential ... Algorithm - Urinary Chloride ... - Normal/low ... diarrhea, Kidney tubular ... #Differential #
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Hypokalemia - Differential ... excess - Renal tubular ... acidosis (Types ... Catecholamines - Alkalosis ... Diagnosis #Low #
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... Metabolic alkalosis ... Diagnosis #Causes #Workup ... #Nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
distal convoluted tubule ... • Normal or low ... ratio 0.5%) Differential ... syndrome, Renal tubular ... acidosis (RTA))
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
(NAGMA) - Differential ... Framework and Workup ... Chloride Intoxication ... Hypoaldosteronism - Renal Tubular ... #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
: Differential Diagnosis ... chronic respiratory acidosis ... diuretics after renal tubule ... indicates a renal tubule ... #Differential #
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Hypochloremia - Differential ... Decreased Intake: • Low ... filtration rate by tubulo-glomerular ... cause metabolic acidosis ... #Chloride
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
consumption • Low ... - Metabolic Alkalosis ... - Metabolic acidosis ... diagnosis #Algorithm #differential ... #low
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Transcellular Shifts: - Alkalosis ... tobacco, Renal tubular ... acidosis, Postobstructive ... #Causes #differential ... #diagnosis #nephrology