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Algorithm for Differentiating Gitelman syndrome from Bartter syndrome • Urine Chloride • Urine Ca/Cr ratio Dr. Krithika
Gitelman syndrome ... from Bartter syndrome ... #syndrome #Bartter ... #Algorithm #nephrology ... #hypokalemia #diagnosis
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... Mg2+ deficiency, Bartter ... syndrome, Gitelman ... syndrome #hypokalemia ... #diagnosis #nephrology
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 ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Urine Cl-: Vomiting ... (late) • High Urine ... Cl-: Diuretics, Bartter ... Syndrome, Gitelman ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Urine Cl-: Vomiting ... (late) • High Urine ... Cl-: Diuretics, Bartter ... Syndrome, Gitelman ... #Nephrology #Causes
Hypokalemia Differential Diagnosis Algorithm Low intake • poor oral intake Renal loss • Medication • Hypomagnesemia •
Diagnosis Algorithm ... Low intake ... tubular acidosis • Gitelman's ... syndrome • Bartter's ... syndrome Extrarenal
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... Emesis, Diuretics, Bartter ... syndrome, Gitelman ... differential #potassium #nephrology ... #low
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Diagnosis Algorithm ... h - Diuretics, Bartter's ... syndrome, Gitelman's ... syndrome #Hypokalemia ... #nephrology #causes
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Gitelman Syndrome ... tubule (DCT) Clinical ... Hypocalciuria (spot urine ... • Bartter syndrome ... • Pseudo Bartter-Gitelman
Hypomagnesemia - Differential Diagnosis Renal Causes of Hypomagnesemia - Familial: Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Hypomagnesemia - Familial: Bartter ... syndrome and Gitelman ... with secondary, hypocalcemia ... diagnosis #causes #nephrology ... #magnesium #low
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