21 results
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
High Anion Gap Metabolic ... Acidosis (HAGMA ... with short bowel syndrome ... Aspirin - salicylate toxicity ... GOLDMARK #mnemonic #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Low intake • Metabolic ... acidosis: Gl tract ... acidosis: Proximal ... • HTN, High Aldosterone ... potassium #low #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
diuretic use, Bartter syndrome ... , Gitelman syndrome ... diarrhea, a high ... acidosis, a high ... urine #Algorithm #nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
0.8 Normal + High ... AG metabolic acidosis ... AG metabolic acidosis ... D-lactate (short bowel syndrome ... Diagnosis #Summary #Nephrology
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity ... show anion-gap metabolic ... acidosis 4) Presentation ... Alkalosis, High ... diagnosis #management #Treatment
Asterixis due to Uremia on Physical Exam

29 year old male came in due to decreasing sensorium
Labs showed high ... anion gap metabolic ... acidosis and uremia ... Asterixis #Uremia #PhysicalExam ... #nephrology #clinical
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 • Tissue injury
 • Hemolysis
 • Rhabdomyolysis
 •
• Tumor lysis syndrome ... • Metabolic acidosis ... glycosides • High ... blockers - MCW Nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
urinary losses: • High ... Pressure: - Metabolic ... Hippurate - Metabolic ... acidosis: Proximal ... differential #potassium #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... - Tumor lysis syndrome ... infusions) - Metabolic ... acidosis - Hyperkalemia ... #nephrology
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
Pisa Syndrome (pleurothotonus ... Pathophysiology: ... Treatment: anticholinergics ... pleurothotonus #PhysicalExam ... #clinical #neurology