11 results
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation ... urinary losses: • High ... consumption • Low ... #diagnosis #Algorithm ... #low
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... intake • Metabolic ... Syndrome • HTN, High ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... - Differential Diagnosis ... Diuretics (late) • High ... Cushing's syndrome, Liddle ... #Algorithm #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
patients with hypokalemia ... mineralocorticoid excess, Liddle ... EABV, High Plasma ... differential #algorithm #diagnosis ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... - Differential Diagnosis ... Diuretics (late) • High ... Cushing's syndrome, Liddle ... #Algorithm #Nephrology
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
seen if urine sample ... - Diagnostic of ... - Up to 3 per high-power ... crystals may indicate metabolic ... #nephrology #casts
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
evaluation? ... common culprits: Hypovolemia ... , Low effective ... PROBLEM ~80% of AKI cases ... for WBCs, RBCs, casts
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Most cases diagnosed ... fractures of feet, thigh ... respiratory failure • Neurologic ... Nephrolithiasis • Metabolic ... Difficulty walking Diagnosis
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... - Differential Diagnosis ... Diuretics (late) • High ... Cushing's syndrome, Liddle ... #Algorithm #Nephrology
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic ... urine Na/Cl > 1.6, low ... urine Na/Cl < 0.7, high ... continued in most cases ... #algorithm #nephrology