13 results
diagnosis differential management causes sodium alkalosis criticalcare foamed hypokalemia pharmacology rhabdomyolysis cardiology chf chloride clinical diuresis diuretics excretion gitelman heartfailure
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... , Gitelman syndrome ... Normal acid-base status ... of sodium and potassium ... #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
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... treated with IV potassium ... A urine K/Cr ratio ... • Diarrhea A urine ... #nephrology #low
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
attention to volume status ... Measure urine osmolality ... Assess volume status ... demyelination syndrome ... #management #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... volume contracted: urine ... chloridorrhea) • Status ... other • Severe potassium ... Diagnosis #Causes #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Heat stroke - Metabolic ... Toxins - Drugs - Statins ... Hyperuricemia • Hyponatremia ... Monitor potassium ... #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
, Heat stroke, Metabolic ... Drugs (Statins), ... hour with goal urine ... Monitor potassium ... per day until stable
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 ... Cirrhosis, Nephrotic syndrome ... differential #diagnosis #table ... #sodium #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
resistance • Metabolic ... • Hyponatremia ... Tolvaptan) • Treatment ... Excretion #Diuresis #Nephrology ... #Medications #Table
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Hypochloremic metabolic ... Hypocalciuria (spot urine ... Rhabdomyolysis Treatment ... Supplement: • Potassium ... #diagnosis #nephrology
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