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diagnosis nephrology algorithm causes hypokalemia alkalosis acidosis gitelman hypomagnesemia icucard management nagma nonaniongap pathophysiology syndrome urine workup
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
- Urinary Chloride ... /low blood pressure ... of sodium and potassium ... #Urinary #Chloride ... #differential #
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
- Differential ... Diagnosis Algorithm - Urinary ... /low blood pressure ... #Alkalosis #Differential ... Algorithm #causes #urinary
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
(K) & magnesium( ... mEq/g suggests urinary ... /Normal Blood Pressure ... diagnosis #Algorithm #differential ... #potassium #nephrology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Extra-renal Losses: • Normal ... secreting tumor, Primary ... Algorithm #causes #potassium ... #low #nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
Acidosis (NAGMA) - Differential ... pH Calculate Urinary ... Chloride Intoxication ... NonAnionGap #Acidosis #Metabolic ... #NAGMA #Differential
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... R - Primary aldosteronism ... Hyperplasia • Normal ... Al, Normal R - ... #causes #low #potassium
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Alkalosis: Differential ... > 20 meq/L • Primary ... other • Severe potassium ... #Alkalosis #Differential ... Diagnosis #Causes #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 blood pressure ... Hypochloremic metabolic ... ratio 0.5%) Differential ... • Magnesium
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
osmotic diuresis, Potassium ... Hypercalcemic states, Primary ... Hypomagnesemia #Causes #differential ... #diagnosis #nephrology ... #magnesium #low
#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
Trans Tubular Potassium ... (HCO3d-HCO3m) Metabolic ... HCO3)+8 (+-2)| Metabolic ... -2min Calcium chloride ... : 2 - 4mg/min Magnesium
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