10 results
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
diarrhea / IBD Renal ... Hypercalcemia - Hypokalemia ... syndromes - Gitelman ... Diagnosis #Low #Magnesium ... Classification #Causes #Workup
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Bartter syndrome and Gitelman ... with secondary, hypocalcemia ... transplant, Diuretic ... diagnosis #causes #nephrology ... #magnesium #low
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
with thiazide diuretic ... (renal potassium ... • Potassium • Magnesium ... #diagnosis #nephrology ... #management #pathophysiology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... Extra-renal Losses ... Loop and thiazide diuretics ... Bartter syndrome, Gitelman ... potassium #low #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
potassium(K) & magnesium ... suggests extra-renal ... Alkalosis: Emesis, Diuretics ... Bartter syndrome, Gitelman ... differential #potassium #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Differential Diagnosis Algorithm ... • Renal tubular ... Post-hypercapnia • Diuretics ... Bartter's syndrome, Gitelman's ... #causes #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Algorithm Acidosis ... Diuretics (discontinued ... Renal artery stenosis ... Diagnosis #Causes #Workup ... #Nephrology
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Gitelman Syndrome ... Hypokalemia - Hypomagnesemia ... Normotensive - No diuretic ... dr_missyhanna #Gitelman ... #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Decreased intake (rare cause in isolation)
GI loss - Urine loss
Differential Diagnosis Algorithm ... Gittelman's syndrome • Magnesium ... aldosterone • Renal ... #Nephrology #Differential ... #Diagnosis #Algorithm
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
- Diarrhea • RENAL ... LOSS: - Diuresis ... - Bartter - Gitelman ... #Pathophysiology ... #Nephrology #Chloride