12 results
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
(NAGMA) - Differential ... Framework and Workup ... Hypoaldosteronism - Renal Tubular ... #Metabolic #NAGMA ... #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... intake • Metabolic ... acidosis: Gl tract ... acidosis: Proximal ... #nephrology
Considerations for Crystalloids - 0.9% NS vs LR vs Plasma-Lyte
 - Causes hyperkalemia?
 - Safe to
- Can cause a NAGMA ... patients with a metabolic ... acidosis? ... Update: AKI in NS ... row was removed
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... Metabolic alkalosis ... Diagnosis #Causes #Workup ... #Nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
alkalosis • Normal/low ... gap metabolic acidosis ... high in kidney tubular ... urine #Algorithm #nephrology ... #differential #
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
consumption • Low ... acidosis: Proximal ... diagnosis #Algorithm #differential ... #potassium #nephrology ... #low
Gitelman Syndrome Overview

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

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Heat stroke - Metabolic ... Hyponatremia • HAGMA ... formation: Renal tubular ... Rhabdomyolysis #Differential
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Hypochloremia - Differential ... Decreased Intake: • Low ... filtration rate by tubulo-glomerular ... acidosis - Cl ... Hypochloremia #Differential
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm
Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... , TTKG, distal flow ... Non-Anion Gap Metabolic ... Acidosis • Hyperosmolarity ... #Differential #