Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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differential potassium alkalosis causes hyponatremia low metabolic renal rta cerebral chloride hypotonic pathophysiology physiologic saltwasting siadh sodium table ttkg urinary
Renal Tubular Acidosis - Differential Diagnosis Algorithm Decreased Serum K, Urine pH < 5.5 - Proximal RTA Decreased
Renal Tubular Acidosis ... pH > 6.0 - Hypokalemic ... Acidosis • Urine ... #Diagnosis #Algorithm ... #nephrology
Renal Tubular Acidosis - Diagnosis Algorithm • Hyperkalemic Type 4 RTA • Hypokalemic Type 1 RTA
Renal Tubular Acidosis ... - Diagnosis Algorithm ... Type 4 RTA • Hypokalemic ... #Acidosis #Diagnosis ... #Algorithm #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... high in kidney tubular ... in the proximal tubule ... #Algorithm #nephrology ... #differential #diagnosis
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
- Differential Diagnosis ... Algorithm Defining ... • Renal tubular ... acidosis (type ... #nephrology #potassium
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... A urine K/Cr ratio ... - Metabolic acidosis ... #diagnosis #Algorithm ... differential #potassium #nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Sodium loss from tubules ... → Increased urine ... Pathophysiology #diagnosis ... #nephrology #hyponatremia ... #comparison
Hypokalemia Diagnostic Algorithm To assess potassium excretion: perform 24-hour urine collection or alternatively obtain potassium-to-creatinine ratio on
Hypokalemia Diagnostic ... Algorithm To assess ... suggest renal K wasting ... #Hypokalemia #Diagnosis ... #nephrology #low
Pragmatic diagnostic algorithm for hypokalemia. ***Typical presentations: • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic ... algorithm for hypokalemia ... confirmed via genetic testing ... #diagnosis #differential ... #algorithm #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
: Differential Diagnosis ... chronic respiratory acidosis ... diuretics after renal tubule ... indicates a renal tubule ... #Causes #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... Present (Uosm ≥100): Hypovolemia ... #differential #diagnosis ... table #sodium #nephrology
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