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
from Bartter syndrome ... β€’ Urine Chloride ... β€’ Urine Ca/Cr ... Bartter #Algorithm #nephrology ... #hypokalemia #diagnosis
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
patients with hypokalemia ... β€’ Cell shift: Hypokalemic ... , Gitelman syndrome ... #hypokalemia ... algorithm #diagnosis #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
wasting from other causes ... A urine K/Cr ratio ... suggests extra-renal causes ... β€’ Diarrhea A urine ... differential #potassium #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Diagnosis Algorithm Syndrome ... Pain/Post-op β€’ Neurologic ... Malignancy True hypovolemia ... Hypo-osmolar urine
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Defining the cause ... of hypokalemia ... diagnosis #algorithm #causes ... #nephrology #potassium
Hypokalemia Differential Diagnosis Algorithm

Low intake 
β€’ poor oral intake 

Renal loss 
β€’ Medication 
β€’ Hypomagnesemia 
β€’
Hypokalemia Differential ... β€’ Gitelman's syndrome ... β€’ Bartter's syndrome ... Hypothermia β€’ Hypokalemic ... Diagnosis #Algorithm #Causes
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Guillain-BarrΓ© syndrome ... Hyperreflexia: β€’ Hypocalcemia ... Hyperthyroidism, Serotonin syndrome ... differential #diagnosis #table ... #neurology
Pathophysiology of Tumor Lysis Syndrome (TLS)
Tumor Cell Lysis
-> Release of DNA
 β€’ Purines -> Hypoxanthine /
of Tumor Lysis Syndrome ... Nephropathy (low urine ... nephropathy (high urine ... pH) β€’ Hypocalcemia ... β€’ Hyperkalemia
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 β€’ Tissue injury
 β€’ Hemolysis
 β€’ Rhabdomyolysis
 β€’
Causes of HyperKalemia ... β€’ Tumor lysis syndrome ... blockers - MCW Nephrology ... MCW_Nephrology #HyperKalemia ... Differential #Diagnosis #Causes
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... , Gitelman syndrom ... @priti899 #Hypokalemia ... Diagnosis #Algorithm #causes ... potassium #low #nephrology