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nephrology management differential gitelman hypernatremia alkalosis behcet chloride diuresis excretion hyperkalemia hypokalemia hyponatremia k medications metabolic pathophysiology person pharmacology potassium
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Workup Algorithm ... , Cushing syndrome ... #Workup #Algorithm ... #nephrology #sodium
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Repeat the sodium ... volume loss - diuretics ... • nephrotic syndrome ... #Workup #Algorithm ... #Nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Diagnosis of ... Inhibitors of Na+K+2Cl ... • Bleeding • Cardiac ... Tolvaptan) • Treatment ... #Nephrology #Pharmacology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... loop or thiazide diuretics ... use, Bartter syndrome ... , Gitelman syndrome ... #diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Antibiotics (Bactrim, PCN ... reabsorption) Workup ... tourniquet / IVF line draw ... line, stabilizes cardiac ... #potassium #nephrology
Gitelman Syndrome - Diagnosis and Workup Blood Work: - Hypokalemia - Hypomagnesemia - Metabolic Alkalosis - Elevated
Gitelman Syndrome ... Normotensive - No diuretic ... dominant kidney disease ... #Diagnosis #Workup ... #nephrology
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
skin injury) • Neurologic ... Medium and large ... thrombosis, VTE) • Cardiac ... ) Differential Diagnosis ... Arthritis, AS Treatment
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... 3 questions to work ... demyelination syndrome ... vaptans (HF/liver disease ... #nephrology #sodium
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary Epidemiology: • Prevalence: 1-2 cases per million -
antibody that works ... Treatment: • ... others (botox, sodium ... #Management #treatment ... #neurology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... • Autoimmune disease ... Rhabdomyolysis Treatment ... #diagnosis #nephrology
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