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diagnosis differential management causes algorithm alkalosis hypokalemia rhabdomyolysis sodium chloride diuresis diuretics excretion gitelman hyperkalemia hypotonic k low medications pathophysiology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... A urine K/Cr ratio ... • Diarrhea A urine ... Pressure: - Metabolic ... #nephrology #low
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
diuretic use, Bartter syndrome ... , Gitelman syndrome ... Urine chloride is ... of sodium and potassium ... #Algorithm #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Heat stroke - Metabolic ... Weakness - Dark urine ... Hyperuricemia • Hyponatremia ... Monitor potassium ... #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... volume contracted: urine ... volume expanded: urine ... other • Severe potassium ... Diagnosis #Causes #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
and Treatment ... Measure urine osmolality ... Treatment: Treatment ... demyelination syndrome ... #management #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... volume-based algorithm Urine ... Cirrhosis, Nephrotic syndrome ... differential #diagnosis #table ... #sodium #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
iniury, Compartment syndrome ... , Heat stroke, Metabolic ... hour with goal urine ... Monitor potassium ... per day until stable
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
resistance • Metabolic ... • Hyponatremia ... Tolvaptan) • Treatment ... Excretion #Diuresis #Nephrology ... #Medications #Table
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Hypochloremic metabolic ... Hypocalciuria (spot urine ... Rhabdomyolysis Treatment ... Supplement: • Potassium ... #diagnosis #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
lysis) ± Urine ... Elimination (see Table ... Stabilization Treatments ... Redistribution Treatments ... #potassium #nephrology
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