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diagnosis nephrology algorithm hypokalemia metabolic pathophysiology causes hypochloremia management syndrome urinary urine
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
• Normal or low ... ratio 0.5%) Differential ... Supplement: • Potassium ... • Magnesium ... #diagnosis #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
• Normal/low ... Bartter syndrome, Gitelman ... of sodium and potassium ... urine #Algorithm #nephrology ... #differential #
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
(K) & magnesium( ... - Metabolic Alkalosis ... Bartter syndrome, Gitelman ... diagnosis #Algorithm #differential ... #potassium #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
: Differential Diagnosis ... furosemide-like lesion) • Gitelman ... other • Severe potassium ... #Differential # ... Diagnosis #Causes #nephrology
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Hypochloremia - Differential ... Decreased Intake: • Low ... - Metabolic alkalosis ... - Bartter - Gitelman ... #Chloride
#ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
#ICUCard RENAL ... Trans Tubular Potassium ... 2)| Metabolic Alkalosis ... -2min Calcium chloride ... : 2 - 4mg/min Magnesium
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