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diagnosis nephrology metabolic algorithm pathophysiology alkalosis aniongap causes gitelman hypochloremia management nagma nonaniongap normal syndrome urinary urine workup
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... high in kidney tubular ... in the proximal tubule ... urine #Algorithm #nephrology ... #differential #
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Hypokalemia ... loads (ammonium chloride ... #NonGap #Metabolic ... #Acidosis #differential ... diagnosis #causes #nephrology
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))
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
(NAGMA) - Differential ... Chloride Intoxication ... Hypoaldosteronism - Renal Tubular ... Metabolic #NAGMA #Differential ... Diagnosis #Workup #nephrology
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
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