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diagnosis differential management causes hypokalemia low comparison effects gitelman hyponatremia hypotonic intercellularshift k lactated lr normal ns pathophysiology physiologic ringers
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Weakness - Dark urine ... + myoglobin AKI ... hour with goal urine ... Monitor potassium ... #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Dermatomyositis) AKI ... oxidative iniury Treatment ... hour with goal urine ... Monitor potassium ... Dialysis for severe hyperkalemia
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... A urine K/Cr ratio ... suggests extra-renal ... • Diarrhea A urine ... #nephrology #low
Hypokalemia Diagnostic Algorithm To assess potassium excretion: perform 24-hour urine collection or alternatively obtain potassium-to-creatinine ratio on
Algorithm To assess ... perform 24-hour urine ... values suggest renal ... #Algorithm #TTKG ... #nephrology #low
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 ... Losses (AKI, Post-AKI ... : Hypovolemia, Hypervolemia ... table #sodium #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Excretion: - Renal ... , RTA Type IV, AI ... lysis) ± Urine ... 15 suggests ↓ renal ... #potassium #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... nephron - TTKG > 7, Urine ... Creatinine • Chronic renal ... failure • AKI ... IntercellularShift #Nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
(renal potassium ... Hypocalciuria (spot urine ... • Seizures • Rhabdomyolysis ... Treatment - ... Syndrome #diagnosis #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
130 mEq/L • Potassium ... Is Dangerous in Hyperkalemia ... Saline Causes AKI ... Decreased GFR, urine ... NS #comparison #pharmacology
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