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diagnosis causes management table algorithm alkalosis chloride gitelman hyponatremia hypotonic metabolic pathophysiology physiologic rhabdomyolysis screening secondary treatment urinary workup
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
, Gitelman syndrome ... Hypomagnesemia • Hypertension ... sodium is typically ... #Algorithm #nephrology ... #differential #
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary Hypertension ... - Differential ... (correction of hypokalemia ... Oral sodium loading ... test (with 24-h urine
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... #diagnosis #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Weakness - Dark urine ... injured muscles - HYPOTENSION ... hour with goal urine ... causes #treatment #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... Present (Uosm ≥100): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #differential ... #nephrology
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