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diagnosis differential pathophysiology cardiorenal causes chloride epilepticus gitelman hepatology hepatorenal hrs hypokalemia icucard mechanisms metabolic metabolicalkalosis neurology nongap pediatrics peds
Mechanisms of nephron damage in cardiorenal syndrome • Increased renal interstitial pressure • Hypoperfusion • Reduced
in cardiorenal syndrome ... hypertrophy • Sodium ... • Increased AVP ... #cardiorenal #syndrome ... pathophysiology #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... the excretion of sodium ... #nephrology #differential
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm GI Losses - Gastric • Vomiting • NG suction GI
Causes of Metabolic Alkalosis ... Differential Diagnosis Algorithm ... Losses - Impaired tubular ... Licorice • Liddle's Syndrome ... MetabolicAlkalosis #NonGap #Nephrology
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 ... , Renal tubular ... #diagnosis #nephrology ... #management #pathophysiology
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
Hepatorenal Syndrome ... • Tubular function ... Classification: ... • Urine sodium ... #Hepatology #Nephrology
#ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
0.6*Wt Required Sodium ... 2)| Metabolic Alkalosis ... pCO2 Respiratory Alkalosis ... Distress Syndrome ... Bicarbonate, Sodium
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
Management of Convulsive ... IV Thiopental Sodium ... Epilepticus #seizure #Management ... #neurology #pediatrics ... #peds #algorithm
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