12 results
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... Diagnosis Algorithm ... Urine Cl-: Vomiting ... Bartter Syndrome, Gitelman ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Diagnosis Algorithm ... Urine Cl-: Vomiting ... Bartter Syndrome, Gitelman ... #Nephrology #Causes
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... /low blood pressure ... Bartter syndrome, Gitelman ... #Algorithm #nephrology ... #differential #diagnosis
Gitelman Syndrome Pathophysiology
Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
nephron → - ↑ K+ ... → Hypokalemia Metabolic ... alkalosis - ... Pathophysiology #nephrology ... #diagnosis
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... Alkalosis: Emesis ... Bartter syndrome, Gitelman ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Diagnosis Algorithm ... Urine Cl-: Vomiting ... Bartter Syndrome, Gitelman ... #Nephrology #Causes
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Urine K+ <13 mEq ... Urine Cl - Non-reabsorbable ... Bartter syndrome, Gitelman ... differential #algorithm #diagnosis ... #nephrology
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
- Differential Diagnosis ... Decreased Intake: • Low ... alkalosis - Fistulas ... - Bartter - Gitelman ... Pathophysiology #Nephrology
Citrate Anticoagulation Toxicity

Hypernatremia (HyperNa):
 - Citrate solutions may have ↑ sodium content and should be paired
solutions may have ↑ sodium ... dysfunction or low ... alkalosis: - Bicarbonate ... Toxicity #toxicology #nephrology ... #diagnosis
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
thiazide-sensitive sodium ... or low blood pressure ... (spot urine, calcium-creatinine ... #Syndrome #diagnosis ... #nephrology #management