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differential causes acutekidneyinjury algorithm gitelman hyperkalemia management potassium rhabdomyolysis syndrome treatment workup acidosis alkalosis checklist chloride criticalcare defects diuresis diuretics
General approach to AKI - Checklist Urine electrolytes & FENa - Previously, it was believed that urine
General approach to AKI ... sodium excretion ... of sodium (FENa ... performance for diagnosing ... AcuteKidneyInjury #Nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
result of increased excretion ... sodium is typically ... of sodium and potassium ... #Algorithm #nephrology ... #differential #diagnosis
Inherited Defects in Kidney Tubule Epithelial Cells Renal glucosuria - Na+-dependent glucose cotransporter Cystinuria - Amino acid transporter Bartter
syndrome - Na-K- ... , K channel, Cl ... Defects #Kidney #Nephrology ... #Diagnosis #Differential ... #Table
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
Kidney Injury (AKI ... UOP/weights - Urine ... Na/K/Cl/urea/protein ... disease — 21% - AKI ... #Nephrology #Diagnosis
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... Na+K / serum Na ... #differential #diagnosis ... #table #sodium ... #nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
- Differential Diagnosis ... • Impaired H+ secretion ... NonAnionGap #Acidosis #Metabolic ... #Differential #Diagnosis ... #Workup #nephrology
Gitelman Syndrome Pathophysiology Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
thiazide-sensitive sodium-chloride ... nephron → - ↑ K+ ... → Hypokalemia Metabolic ... Pathophysiology #nephrology ... #diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Excretion: ... tourniquet / IVF line draw ... lysis) ± Urine ... Elimination (see Table ... Treatment #potassium #nephrology
Gitelman Syndrome - Diagnosis and Workup Blood Work: - Hypokalemia - Hypomagnesemia - Metabolic Alkalosis - Elevated
Hypomagnesemia - Metabolic ... Elevated Renin Urine ... Inappropriate renal K+ ... - Fractional excretion ... #Workup #nephrology
Causes of Hyperkalemia - Differential Diagnosis Framework • Cellular Shift: - Exercise
Exercise - Metabolic ... Decreased Urinary Excretion ... to Aldosterone: K ... distal tubule sodium ... depletion, - AKI
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