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diagnosis differential management causes potassium gitelman hyponatremia table alkalosis chf chloride clinical criticalcare foamed heartfailure hypernatremia hypotonic icu low metabolic
Algorithm for Differentiating Gitelman syndrome from Bartter syndrome • Urine Chloride • Urine Ca/Cr ratio Dr. Krithika
from Bartter syndrome ... • Urine Chloride ... • Urine Ca/Cr ... #Bartter #Algorithm ... #nephrology #hypokalemia
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 #hypokalemia ... #differential #algorithm ... #diagnosis #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... A urine K/Cr ratio ... • Diarrhea A urine ... Emesis, Diuretics, Bartter ... differential #potassium #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Differential Diagnosis Algorithm ... starts by measuring ... • Diuretics, Bartter's ... differential #diagnosis #algorithm ... #causes #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... Hypocalciuria (spot urine ... • Bartter syndrome ... Rhabdomyolysis Treatment ... #diagnosis #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... diuretic use, Bartter ... syndrome, Gitelman ... Normal acid-base status ... #Algorithm #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... 1) Check Urine ... mechanism 2) Volume Status ... , Cushing syndrome ... #nephrology #sodium
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Differential Diagnosis Algorithm ... isolation) GI loss - Urine ... Loop diuretics / Bartter's ... #Nephrology #Differential ... #Diagnosis #Algorithm
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Compartment syndrome ... Toxins - Drugs - Statins ... Weakness - Dark urine ... hour with goal urine ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... Present (Uosm ≥100): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... #nephrology
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