7 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
alkalosis • Normal/low ... acidosis, a high ... of sodium and potassium ... urine #Algorithm #nephrology ... #differential #
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... acidosis: Gl tract ... Syndrome • HTN, High ... Algorithm #causes #potassium ... #low #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
130 mEq/L • Potassium ... development of metabolic ... Hyperchloremia nonanion gap metabolic ... densa receives high ... decreased renal blood flow
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
(K) & magnesium( ... urinary losses: • High ... acidosis: Proximal ... diagnosis #Algorithm #differential ... #potassium #nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Causes of High-anion ... of High-anion Gap ... Potassium-sparing ... loads (ammonium chloride ... #Acidosis #differential
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
(NAGMA) - Differential ... Chloride Intoxication ... - Diarrhea - High ... #Metabolic #NAGMA ... #Differential
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal or low ... Hypochloremic metabolic ... ratio 0.5%) Differential ... Renal tubular acidosis ... • Magnesium