16 results
Renal Tubular Acidosis (RTA) 
Type 1 - Failure of secretion
Type 2 - Bicarbonate wasting
Type 4 -
Renal Tubular Acidosis ... proximal features and high ... Renal #Tubular #Acidosis ... #RTA #types #classification ... #nephrology #diagnosis
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
diarrhea, a high ... high in kidney ... acidosis, a high ... #Algorithm #nephrology ... #differential #diagnosis
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
- Differential Diagnosis ... • Serum K high ... - Diarrhea - High ... #Metabolic #NAGMA ... #Workup #nephrology
Causes of Non-Gap Metabolic Acidosis - Differential Diagnosis Algorithm
Normal Anion Gap (<14) (Loss of Bicarbonate) -
Causes of Non-Gap Metabolic ... Acidosis - Differential ... Diagnosis Algorithm ... Loss (Negative urine ... MetabolicAcidosis #NonGap #Nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Causes of High-anion ... Non-anion Gap Metabolic ... of High-anion Gap ... #diagnosis #causes ... #nephrology
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... show anion-gap metabolic ... ingestion/exposure Symptoms ... Alkalosis, High ... Resuscitation 2) Urine
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
- Up to 3 per high-power ... normal; >3 per high-power ... Hyaline casts - Any type ... crystals may indicate metabolic ... #nephrology #casts
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... urinary losses: • High ... acidosis: Proximal ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
: Differential Diagnosis ... chronic respiratory acidosis ... syndrome (11-ß HSD type ... #Differential #Diagnosis ... #Causes #nephrology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... impairment of cellular metabolism ... excretion (e.g., urine ... sweat) - its metabolism ... #typeb #classification