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diagnosis differential algorithm alkalosis causes hypokalemia chloride potassium urinary aids associated bicarbonate dementia disorder elevated gout hand hiv hypochloremia kidney
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... Cl-: Diuretics, Bartter ... Syndrome, Gitelman ... #Primary #Metabolic ... Diagnosis #Algorithm #nephrology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
intake • Metabolic ... secreting tumor, Primary ... thiazide diuretics, Bartter ... syndrome, Gitelman ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic ... Cl-: Diuretics, Bartter ... Syndrome, Gitelman ... aldosteronism #Metabolic ... Diagnosis #Algorithm #Nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
↑ Aldosterone: Primary ... Emesis, Diuretics, Bartter ... syndrome, Gitelman ... differential #potassium #nephrology ... #low
Approach to Elevated Bicarbonate (HCO3) Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?) (+)
(Hx of COPD, OSA ... Gas) (-) Likely Metabolic ... Mineralocorticoid • Primary ... Barter, or Gitelman ... Syndrome Unremarkable
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Diagnosis Algorithm - Urinary ... - Normal/low ... diuretic use, Bartter ... syndrome, Gitelman ... syndrome, Hypomagnesemia
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypertensive: • High Al, Low ... R - Primary aldosteronism ... h - Diuretics, Bartter's ... syndrome, Gitelman's ... Diagnosis #Algorithm #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic ... Cl-: Diuretics, Bartter ... Syndrome, Gitelman ... aldosterone escape #Metabolic ... Diagnosis #Algorithm #Nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Gitelman Syndrome ... alkalosis • Normal or low ... • Bartter syndrome ... • Pseudo Bartter-Gitelman ... #pathophysiology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... diuretic use, Bartter ... syndrome, Gitelman ... syndrome, Hypomagnesemia ... urine #Algorithm #nephrology
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