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algorithm hypokalemia treatment chloride diuretics excretion gitelman hyperkalemia hypertension hypotonic indications k metabolic pharmacology physiologic rhabdomyolysis secondary sodium urinary urine
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
• Refeeding syndrome ... Thyrotoxicosis Medications ... • Discontinued diuretic ... #nephrology #low ... #potassium
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... : • Normal Acid-Base ... Loop and thiazide diuretics ... #causes #potassium ... #low #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Metabolic alkalosis ... • Diagnosis of ... irrigation • Management ... #Diuresis #Nephrology ... #Table
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... Cirrhosis, Nephrotic syndrome ... #differential # ... diagnosis #table ... #sodium #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
suggests extra-renal ... - Metabolic Alkalosis ... : Emesis, Diuretics ... #Hypokalemia #diagnosis ... #potassium #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
• Normal/low ... the indicated causes ... urine #Algorithm #nephrology ... #differential # ... diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... only if no clear cause ... Elimination (see Table ... concurrent need for vasopressor ... #potassium #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
• Normal or low ... ratio 0.5%) Differential ... , Renal tubular ... #diagnosis #nephrology ... #management #pathophysiology
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
and Differential ... , including a diuretic ... and metabolic alkalosis ... #causes #Differential ... #Diagnosis #indications
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Hyperuricemia • Hyponatremia ... Monitor potassium ... Loop diuretics for ... #Diagnosis #Management ... #nephrology
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