12 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... the indicated causes ... of sodium and potassium ... #Metabolic #Alkalosis ... #nephrology #differential
Vesiculobullous Skin Rash - Differential Diagnosis Algorithm
Vesicles Fragile/EasiIy Ruptured - Intraepidermal blisters, possibly crusts/erosions
 - Inflammatory
Bullous systemic lupus ... erythematous - Metabolic ... tarda • Diabetic ... Vesiculobullous #SkinRash #dermatology ... #causes
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... treated with IV potassium ... wasting from other causes ... Alkalosis: Emesis ... #nephrology #low
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Renal losses, Diuretic ... tubal acidosis and metabolic ... alkalosis, Ketonuria ... #Causes #nephrology
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
altered 2) You see ... no respiratory cause ... show anion-gap metabolic ... Acidosis, Respiratory Alkalosis ... High Lactate, Low Potassium
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... after renal tubule diuretic ... • Severe potassium ... #Diagnosis #Causes ... #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
(Uncontrolled diabetes ... infusions) - Metabolic ... insufficiency/Failure • SLE ... differential #diagnosis #causes ... #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
(Uncontrolled diabetes ... infusions) - Metabolic ... insufficiency/Failure • SLE ... differential #diagnosis #causes ... #nephrology
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
) to normalize Potassium ... a contraction metabolic ... alkalosis & further ... Early nephrologv ... Fluid #Balance #management
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal ... Hypochloremic metabolic ... Supplement: • Potassium ... Syndrome #diagnosis #nephrology ... #management #pathophysiology