10 results
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic Alkalosis ... Vomiting, NGT suction ... Diuretics (late ... hyperaldosteronism • High PRA: Renal ... Diagnosis #Algorithm #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Vomiting, NGT suction ... Diuretics (late ... hyperaldosteronism • High PRA: Renal ... Diagnosis #Algorithm #Nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift: • Alkalosis ... • Refeeding syndrome ... Losses Non-renal ... GI losses (NG suction ... Diagnosis #Algorithm #nephrology
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
GI Losses - Gastric
 • Vomiting
 • NG suction
GI
Causes of Metabolic Alkalosis ... Vomiting • NG suction ... Chloridorrhea Renal ... Licorice • Liddle's Syndrome ... MetabolicAlkalosis #NonGap #Nephrology
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Decreased Intake: • Low ... - Metabolic alkalosis ... - Diarrhea • RENAL ... Diagnosis #Algorithm #Pathophysiology ... #Nephrology #Chloride
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Vomiting, NGT suction ... Diuretics (late ... hyperaldosteronism • High PRA: Renal ... Diagnosis #Algorithm #Nephrology
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
loss: Nasogastric suction ... steatorrhea) • Renal ... inappropriate antidiuretic hormone ... differential #diagnosis #nephrology ... #magnesium #low
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
• Normal or low ... • Hypokalemia (renal ... , Renal tubular ... #diagnosis #nephrology ... #management #pathophysiology
Bulimia Nervosa: Complications
GASTROINTESTINAL
 • Dehydration & inability to digest food -> Constipation
 • Recurrent vomiting exposes
• Boerhaave syndrome ... imbalances (low ... /Osteoporosis RENAL ... lead to metabolic alkalosis ... Complications #pathophysiology
#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
#ICUCard RENAL ... (Na U(U/P Cr) Renal ... 2)| Metabolic Alkalosis ... pCO2 Respiratory Alkalosis ... Distress Syndrome