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differential treatment distal kidney renaltubular rta algorithm alkalosis causes chloride defects epithelial gitelman hyperkalemia hyperkalemic hypernatremia hypokalemia hyponatremia inherited k
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Kidney loss of Cl ... sodium is typically ... the excretion of sodium ... #Algorithm #nephrology ... #differential #diagnosis
Distal Renal Tubular Acidosis (RTA) Type 1 Totally scuppers the kidney's acidification mechanism. Will be
Renal Tubular Acidosis ... much easier to diagnosis ... with direct urine ... Failure to acidify urine ... #Management #Nephrology
Inherited Defects in Kidney Tubule Epithelial Cells Renal glucosuria - Na+-dependent glucose cotransporter Cystinuria - Amino acid transporter Bartter
cell epithelial sodium ... of epithelial sodium ... renal tubular acidosis ... Defects #Kidney #Nephrology ... #Diagnosis #Differential
Hyperkalemic Distal Renal Tubular Acidosis (RTA) Type 4 - Failure to acidify urine in collecting duct
Renal Tubular Acidosis ... Failure to acidify urine ... #Hyperkalemic #Diagnosis ... #Management #Nephrology ... #RenalTubular #Acidosis
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute Managment ... , Anuria - PCN ... protein - Low sodium ... #Pediatrics #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Antibiotics (Bactrim, PCN ... tourniquet / IVF line draw ... lysis) ± Urine ... #potassium #nephrology
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
- Differential Diagnosis ... history, exam, and urine ... DI; high dilute urine ... #Treatment #management ... #nephrology #sodium
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Measure urine osmolality ... #Differential #Diagnosis ... #Treatment #management ... #nephrology #sodium
Primary Polydipsia Definition: Excessive volitional water intake Epidemiology: • 6-20% of patients with psychiatric disorders - Most commonly
Differential Diagnosis ... Osm, Serum Sodium ... , Urine Sodium ... Primary #Polydipsia #diagnosis ... #management #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... Hypocalciuria (spot urine ... Renal tubular acidosis ... Gitelman #Syndrome #diagnosis ... #nephrology #management
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