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diagnosis differential acidosis high management metabolic treatment algorithm aniongap diuresis diuretics excretion hyponatremia hypotonic intercellularshift k medications nagma nonaniongap nongap
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
failure (acute and chronic ... Chronic progressive ... (with renal insufficiency ... Potassium-sparing ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Recent IV potassium ... deficiency • Renal insufficiency ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Recent IV potassium ... deficiency • Renal insufficiency ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
Framework and Workup ... HCO3 - Renal insufficiency ... normal Type 4: Hyperkalemic ... Surgical drains - Chronic ... #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Creatinine • Chronic ... ARB • Adrenal insufficiency ... • NSAlDs #Hyperkalemia ... IntercellularShift #Nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Monitor potassium ... per day until stable ... Diagnosis #Management #causes ... #treatment #nephrology
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 ... Management #Treatment #potassium ... #nephrology #K
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... Hypothyroidism, Adrenal Insufficiency ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table ... #sodium #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
liver cirrhosis, chronic ... Hyponatremia • Hypercalcemia ... Kidney stones caused ... Excretion #Diuresis #Nephrology ... #Medications #Table
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