14 results
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic Alkalosis ... Diuretics (late) • High ... hyperaldosteronism • High ... Renin-secreting tumor ... Diagnosis #Algorithm #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Diuretics (late) • High ... hyperaldosteronism • High ... Renin-secreting tumor ... Diagnosis #Algorithm #Nephrology
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
GI Losses - Gastric
 • Vomiting
 • NG suction
GI
Causes of Metabolic Alkalosis ... Renin-Secreting Tumor ... Low Renin, High ... Licorice • Liddle's Syndrome ... MetabolicAlkalosis #NonGap #Nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Shift: Refeeding Syndrome ... Acute Respiratory Alkalosis ... , Tumor Genesis ... High Kidney Phosphate ... Diagnosis #Algorithm #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Glucose, Acute resp. alkalosis ... , Tumor genesis ... • Normal or High ... Low PTH: - High ... Workup #phosphate #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
urinary losses: • High ... Renin secreting tumor ... - Metabolic Alkalosis ... , Gitelman syndrome ... differential #potassium #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Diuretics (late) • High ... hyperaldosteronism • High ... Renin-secreting tumor ... Diagnosis #Algorithm #Nephrology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
ulceration • Ocular ... skin injury) • Neurologic ... Leukemia, Lymphoma Ocular ... interferon alfa, or tumor ... exacerbations: high-dose
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
0.8 Normal + High ... D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... restrictive lung disease ... Diagnosis #Summary #Nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... Transfusion reaction - Tumor ... lysis syndrome ... • Addison’s disease ... #nephrology