13 results
Algorithm for Differentiating Gitelman syndrome from Bartter syndrome
 • Urine Chloride
 • Urine Ca/Cr ratio

Dr. Krithika
Gitelman syndrome ... from Bartter syndrome ... • Urine Chloride ... • Urine Ca/Cr ... #hypokalemia #diagnosis
Differential Diagnosis and Evaluation of Hypokalemia #Diagnosis #EM #IM #Nephro #Hypokalemia #Acidosis #Alkalosis #Algorithm #Differential #Ddxof
Evaluation of Hypokalemia ... EM #IM #Nephro #Hypokalemia ... #Acidosis #Alkalosis ... #Algorithm #Differential ... #Ddxof
Hypokalemia Differential Diagnosis Algorithm

Low intake 
• poor oral intake 

Renal loss 
• Medication 
• Hypomagnesemia 
•
Hypokalemia Differential ... Renal tubular acidosis ... • Gitelman's ... syndrome • Bartter's ... amzn.to/2LmUODZ #Hypokalemia
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation ... evaluating hypokalemia ... in evaluating hypokalemia ... syndrome, Gitelman ... @krithicism #Hypokalemia
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Family history of hypokalemia ... • Unexplained hypokalemia ... pressure Labs: • Hypokalemia ... syndrome • Pseudo Bartter-Gitelman ... pathophysiology #Hypokalemia
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... thiazide diuretics, Bartter ... syndrome, Gitelman ... @priti899 #Hypokalemia
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... Metabolic alkalosis ... NephTwitter) #Hypokalemia ... Diagnosis #Causes #Workup
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Algorithm for patients ... with hypokalemia ... Mg2+ deficiency, Bartter ... syndrome, Gitelman ... syndrome #hypokalemia
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
for Respiratory Acidosis ... Likely Metabolic Alkalosis ... Urine CI < 20 ... Barter, or Gitelman ... #algorithm #diagnosis
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... Urinary Chloride Algorithm ... diuretic use, Bartter ... syndrome, Gitelman ... #Algorithm #nephrology