10 results
diagnosis nephrology differential syndrome alkalosis comparison effects gitelman hepatology hepatorenal hrs hyperkalemia hypernatremia hyponatremia hypotonic intercellularshift lactated low lr management
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
urine chloride ... Urine chloride is ... the indicated causes ... urine chloride ... #urine #Algorithm
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
Is Dangerous in Hyperkalemia ... shift • Saline Causes ... densa receives high ... Decreased GFR, urine ... • Saline May Cause
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... water loss, Serum Sodium ... >145 mmol/L High ... Urine Osmolality ... #Causes
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... A urine K/Cr ratio ... • Diarrhea A urine ... urinary losses: • High
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... isolation) GI loss - Urine ... #Nephrology #Differential ... #Diagnosis #Algorithm
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 ... Hypocalciuria (spot urine ... Rhabdomyolysis Treatment ... Syndrome #diagnosis #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... diuresis can be high ... Present (Uosm ≥100): Hypovolemia ... #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... nephron - TTKG > 7, Urine ... IntercellularShift #Nephrology ... #Causes
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... Na/Cl < 0.7, high ... continued in most cases ... #differential #algorithm ... #nephrology
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
• Caused by splanchnic ... Exclude other AKI causes ... • Urine sodium ... Treatment Overview ... Prognosis: • High
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