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diagnosis differential management hyperkalemia hyponatremia low acute alkalosis chloride gitelman hypotonic intercellularshift k metabolic pathophysiology physiologic rhabdomyolysis syndrome table urinary
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... treated with IV potassium ... A urine K/Cr ratio ... • Diarrhea A urine ... #nephrology #low
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... the indicated causes ... sodium is typically ... and potassium acid ... #Algorithm #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Weakness - Dark urine ... hour with goal urine ... Monitor potassium ... #treatment #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... (renal potassium ... Hypocalciuria (spot urine ... Rhabdomyolysis Treatment ... Syndrome #diagnosis #nephrology
Algorithm for Management of Acute and Chronic Hyperkalemia Acute Hyperkalemia: - IV calcium (10 mL of 10%)
Algorithm for Management ... in 4 mL) - IV sodium ... mL/min) - Oral sodium ... #Algorithm #Management ... #treatment #nephrology
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... correcting serum potassium ... continued in most cases ... #differential #algorithm ... #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia is usually caused ... Measure urine osmolality ... correction of chronic ... #management #nephrology ... #sodium
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... lysis) ± Urine ... only if no clear cause ... Redistribution Treatments ... #potassium #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Urine Na+K / serum ... Present (Uosm ≥100): Hypovolemia ... #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... nephron - TTKG > 7, Urine ... Creatinine • Chronic ... IntercellularShift #Nephrology ... #Causes
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