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diagnosis differential hypokalemia management diuresis excretion gitelman hypotonic k pathophysiology pharmacology physiologic rhabdomyolysis
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Sodium loss (diuretics ... : Hypovolemia, Hypervolemia ... syndrome) • ADH ... #sodium #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... losses, Diuretic ... and metabolic alkalosis ... , UNa < 20 • Nephrotic ... #Causes #nephrology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
• Refeeding syndrome ... Thyrotoxicosis Medications ... • Discontinued diuretic ... #nephrology #low ... #potassium
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
• Hypovolemia: Diuretics ... Syndrome, Chronic ... Renal Failure, ... #nephrology #sodium ... #low
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... suggests extra-renal ... - Metabolic Alkalosis ... : Emesis, Diuretics ... #nephrology #low
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Metabolic alkalosis ... syndrome • Hyponatremia ... • Hypercalcemia ... #Diuresis #Nephrology ... #Table
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Hyperuricemia • Hyponatremia ... Monitor potassium ... Loop diuretics for ... #treatment #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... • Normal or low ... (renal potassium ... Rhabdomyolysis Treatment ... #diagnosis #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... , RTA Type IV, AI ... Elimination (see Table ... acidosis) • Low ... #potassium #nephrology
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