13 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... #Algorithm #nephrology ... #differential #diagnosis
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
: Differential Diagnosis ... chronic respiratory acidosis ... (11-ß HSD type ... #Differential #Diagnosis ... #Causes #nephrology
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... ingestion/exposure Symptoms ... , Respiratory Alkalosis ... Resuscitation 2) Urine ... #management #Treatment
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... - Metabolic Alkalosis ... - Metabolic acidosis ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
excretion (e.g., urine ... perfusion - shock->treatments ... before beginning treatment ... - Compartment syndrome ... #typeb #classification
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Differential Diagnosis ... : • Triad of symptoms ... Weakness - Dark urine ... • Other symptoms ... #nephrology
Albuminuria (Grades) and Risk for CKD
Normal to mildly increased albuminuria:
 - Albumin excretion rate: < 30
proteinuria: - Urine ... defined as nephrotic syndrome ... Macroalbuminuria is a type ... #CKD #nephrology ... #diagnosis #proteinuria
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Transcellular Shifts: - Alkalosis ... plasma insulin (treatment ... Renal tubular acidosis ... #differential #diagnosis ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Aldosterone, RTA Type ... lysis) ± Urine ... #Hyperkalemia #Diagnosis ... #potassium #nephrology
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 ... Renal tubular acidosis ... Rhabdomyolysis Treatment ... #diagnosis #nephrology