11 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... the indicated causes ... #Metabolic #Alkalosis
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... with renal tubal acidosis ... and metabolic alkalosis ... Cardiac failure #Hyponatremia ... Diagnosis #Algorithm #Causes
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... volume contracted: urine ... chronic respiratory acidosis ... volume expanded: urine ... #Diagnosis #Causes
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
no respiratory cause ... show anion-gap metabolic ... Alkalosis, High ... Resuscitation 2) Urine ... diagnosis #management #Treatment
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
wasting from other causes ... A urine K/Cr ratio ... • Diarrhea A urine ... Alkalosis: Emesis ... acidosis: Proximal
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Management Summary Causes ... Heat stroke - Metabolic ... Weakness - Dark urine ... Hyperuricemia • Hyponatremia ... hour with goal urine
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
impairment of cellular metabolism ... excretion (e.g., urine ... sweat) - its metabolism ... before beginning treatment ... - Compartment syndrome
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
resistance • Metabolic ... alkalosis • Familial ... • Hyponatremia ... Kidney stones caused ... Tolvaptan) • Treatment
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal ... Hypochloremic metabolic ... (spot urine, calcium-creatinine ... Renal tubular acidosis ... Rhabdomyolysis Treatment
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Cushing's Syndrome ... Endocrine and metabolic ... is decreased), hypernatremia ... , metabolic alkalosis ... ↑ 24-hour urine