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management differential nephrology algorithm rheumatology renal causes hypokalemia infectiousdiseases syndromes abscess activetb cancer cardiology hepatology hepatopulmonary hyponatremia latenttb lung pharmacology
Algorithm for Differentiating Gitelman syndrome from Bartter syndrome • Urine Chloride • Urine Ca/Cr ratio Dr. Krithika
syndrome • Urine ... Chloride • Urine ... Ca/Cr ratio ... #Algorithm #nephrology ... #hypokalemia #diagnosis
Lung Abscess Microbiology: • Polymicrobial • Anaerobes (most common) Clinical: • Indolent symptoms that evolve
most common) Clinical ... , hemoptysis Treatment ... Lung #Abscess #Diagnosis ... #Pulmonary #Clinical ... #CXR #ChestXRay
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... • Labs: CBC, cr ... , anti-CCP • CXR ... #differential #diagnosis ... #nephrology
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 ... , Gitelman syndrome ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Gitelman Syndrome ... tubule (DCT) Clinical ... Hypocalciuria (spot urine ... • Autoimmune disease ... #Syndrome #diagnosis
Korsakoff Syndrome Clinical Findings: • Confabulation: Usually initial phase of the disease • Anterograde amnesia: Memory impairment
Korsakoff Syndrome ... Clinical Findings ... initial phase of the disease ... Encephalopathy Treatment ... #neurology #diagnosis
Hepatorenal Syndrome Diagnosis • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome ... Diagnosis • ↑ ... in serum Cr of ... • Severe liver disease ... #nephrology #criteria
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... Inflammatory eye disease ... Anti-GBM antibody • Urine ... : UA, Urine protein ... #management #treatment
Gitelman Syndrome - Diagnosis and Workup Blood Work: - Hypokalemia - Hypomagnesemia - Metabolic Alkalosis - Elevated
Gitelman Syndrome ... Elevated Renin Urine ... excretion of Cl > 0.5% Clinical ... dominant kidney disease ... #Syndrome #Diagnosis
Hematuria in Post-Renal Transplant Patient Prevalence up to 12% in the postrenal transplant patient • Bacterial: Escherichia
, Busulfan • Disease ... (Goodpasture's syndrome ... #differential #diagnosis ... kidney #blood #urine ... #management #treatment
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