Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Algorithm for Differentiating Gitelman syndrome from Bartter syndrome
 β€’ Urine Chloride
 β€’ Urine Ca/Cr ratio

Dr. Krithika
Gitelman syndrome ... from Bartter syndrome ... #syndrome #Bartter ... #Algorithm #nephrology ... #hypokalemia #diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... thiazide diuretics, Bartter ... syndrome, Gitelman ... potassium #low #nephrology
Pocket Comparison Guide to Heritable Hypertension Syndromes (Secondary Hypertension)

Bartter, Gitelman, Liddle, Primary Aldosteronism, 
GRA (Glucocorticoid Remediable
Pocket Comparison ... Hypertension) Bartter ... , Gitelman, Liddle ... #Comparison #Table ... #Diagnosis #Management
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Algorithm for patients ... Mg2+ deficiency, Bartter ... syndrome, Gitelman ... #differential #algorithm ... #diagnosis #nephrology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... dysmorphic RBCs in urine ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
Urine chloride < 20 mmol/l - Chloride responsive (Chloride
- Differential Diagnosis ... Algorithm Urine ... Decreased BP = Bartter's ... Syndrome, Gitelman's ... #Algorithm
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... Emesis, Diuretics, Bartter ... syndrome, Gitelman ... #Hypokalemia #diagnosis ... #potassium #nephrology
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Metabolic Alkalosis Urine ... Barter, or Gitelman ... Syndrome Unremarkable ... metabolic #alkalosis #algorithm ... #diagnosis
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 β€’ High Al, Low R - Primary aldosteronism
 β€’ High Al, High
Hypokalemia Differential Diagnosis ... Algorithm Hypertensive ... h - Diuretics, Bartter's ... syndrome, Gitelman's ... #Algorithm #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
Urinary Chloride Algorithm ... diuretic use, Bartter ... syndrome, Gitelman ... #Algorithm #nephrology ... #differential #diagnosis