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nephrology algorithm causes acidosis alkalosis anticoagulation chloride citrate gitelman hypernatremia hypokalemia kidney management metabolicalkalosis nagma nonaniongap nongap normal pathophysiology pediatrics
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm GI Losses - Gastric • Vomiting • NG suction GI
Causes of Metabolic ... Alkalosis - Differential ... Diagnosis Algorithm ... loop/thiazide) • Hypomagnesemia ... #Differential #
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
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup ... • Euvolemic (Low ... #Diagnosis #Workup ... #Algorithm #nephrology ... #sodium
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
Diagnosis Framework ... and Workup NAGMA ... NonAnionGap #Acidosis #Metabolic ... #Diagnosis #Workup ... #nephrology
Citrate Anticoagulation Toxicity Hypernatremia (HyperNa): - Citrate solutions may have ↑ sodium content and should be paired
solutions may have ↑ sodium ... paired with a lower sodium ... replacement fluid Hypomagnesemia ... dysfunction or low ... #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 ... • Normal or low ... ratio 0.5%) Differential ... Gitelman #Syndrome #diagnosis
Metabolic Causes of Kidney Stones in Children • Calcium Oxalate: Primary Hyperoxaluria type 1-3, Secondary Hyperoxaluria
Metabolic Causes ... Syndrome type 1-4, Lowe ... hypercalciuria, Familial Hypomagnesemia ... #differential # ... diagnosis
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