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nephrology differential algorithm causes metabolic chloride workup abg acid acidbase base bicarbonate bloodgas elevated excretion gas gitelman hypertension hypochloremia hypokalemia
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Transcellular Shifts: - Alkalosis ... hypomagnesemia), Eating disorders ... , Osmotic diuresis ... (mimics loop diuretic ... #differential #diagnosis
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Diuretics and Agents ... • Metabolic alkalosis ... • Diagnosis of ... specific bleeding disorders ... #Medications #Table
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Primary Metabolic Alkalosis ... - Differential Diagnosis ... intake, Diuretics ... -: Diuretics, Bartter ... #Algorithm #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... - Differential Diagnosis ... intake, Diuretics ... -: Diuretics, Bartter ... #Algorithm #Nephrology
Approach to Elevated Bicarbonate (HCO3) Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?) (+)
, CNS/muscular disorders ... Adenoma • Remote Diuretics ... Hyperaldosteronism • Recent Diuretics ... Barter, or Gitelman Syndrome ... #algorithm #diagnosis
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
loop or thiazide diuretics ... pressure: Active diuretic ... use, Bartter syndrome ... , Gitelman syndrome ... #differential #diagnosis
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
- Differential Diagnosis ... - Metabolic alkalosis ... RENAL LOSS: - Diuresis ... - Gitelman SIGNS ... Hypotension • AMS
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... - Differential Diagnosis ... intake, Diuretics ... -: Diuretics, Bartter ... #Algorithm #Nephrology
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
and Differential Diagnosis ... classes, including a diuretic ... and metabolic alkalosis ... renal bruit or signs ... Neurologic disorders
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... (AG) = {Na - (Cl ... - Differential Diagnosis ... D-lactate (short bowel syndrome ... Volume depletion (diuresis
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