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nephrology algorithm alkalosis bloodculture chloride endocarditis gitelman hypernatremia hypokalemia infectiousdiseases infective management metabolic negative pathophysiology syndrome urinary urine
Blood Culture-Negative Infective Endocarditis (BCNIE) Definition: No etiology found after 3 separate blood cultures remain negative for
or fungi (grows slow ... BCNIE Diagnostic ... factors: - Serology ... #Endocarditis #diagnosis ... #differential #
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup ... • Euvolemic (Low ... #Diagnosis #Workup ... #Algorithm #nephrology ... #sodium
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... Gitelman syndrome, Hypomagnesemia ... the excretion of sodium ... #differential # ... diagnosis
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... alkalosis • Normal or low ... ratio 0.5%) Differential ... Gitelman #Syndrome #diagnosis
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