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Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
hyperaldosteronism • Low ... , NGT suction, Low ... Cl intake, Diuretics ... High Urine Cl-: Diuretics ... Algorithm #Nephrology #Causes
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Loop and thiazide diuretics ... Hypokalemia - Osmotic diuresis ... Post-obstructive diuresis ... Differential #Diagnosis #Low ... Classification #Causes
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Causes of Hypokalemia ... Decreased intake (rare cause ... contracted • Loop diuretics ... syndrome • Thiazide diuretics ... artery stenosis Low
Causes of Hypomagnesemia - Differential Diagnosis Algorithm GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... > 10g • Loop Diuretics ... syndrome • Thiazide Diuretics ... Hypomagnesemia #Magnesium #Low ... #Causes #Differential
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
Causes of Polyuria ... a.k.a. osmotic diuresis ... : Conventional diuretics ... • Central Dl (Low ... Differential #Diagnosis #Causes
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm GI Losses - Gastric • Vomiting • NG suction GI
Causes of Metabolic ... tubular transport • Diuretics ... aldosteronism Low ... Renin, Low Aldosterone ... Diagnosis #Algorithm #Causes
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Normal Acid-Base: Low ... Ureterosigmoidoscopy • HTN, Low ... Loop and thiazide diuretics ... Diagnosis #Algorithm #causes ... #potassium #low
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypertensive: • High Al, Low ... Renin-secreting tumor • Low ... >20 mEq/24 h - Diuretics ... Algorithm #nephrology #causes ... #low #potassium
Hypomagnesemia - Differential Diagnosis Renal Causes of Hypomagnesemia - Familial: Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Diagnosis Renal Causes ... hypomagnesemia Renal Causes ... renal transplant, Diuretic ... differential #diagnosis #causes ... nephrology #magnesium #low
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
loop or thiazide diuretics ... - Normal/low ... pressure: Active diuretic ... Diagnosis #Algorithm #causes
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