9 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
, Gitelman syndrome ... Urine chloride is ... the indicated causes ... , a high urine chloride ... #nephrology #differential
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Causes of Metabolic ... Alkalosis - Differential ... Diagnosis Algorithm Urine ... diuretic use Urine ... #Causes #Differential
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
- Differential ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... #Differential # ... Diagnosis #Algorithm #causes
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... Alkalosis: Differential ... chronic respiratory acidosis ... #Differential # ... Diagnosis #Causes
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... • Diarrhea A urine ... - Metabolic Alkalosis ... - Metabolic acidosis ... diagnosis #Algorithm #differential
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Hypochloremic metabolic alkalosis ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... Renal tubular acidosis ... Rhabdomyolysis Treatment
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... Transcellular Shifts: - Alkalosis ... plasma insulin (treatment ... Renal tubular acidosis ... #differential #
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential ... excretion (e.g., urine ... before beginning treatment ... - Compartment syndrome ... #Elevation #Differential
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
status and low urine ... acute coronary syndrome ... the determined cause ... #diagnosis #differential ... algorithm #management #cardiology