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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Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
Metabolic Alkalosis ... Urine chloride is ... of sodium and potassium ... #Algorithm #nephrology ... #differential #
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 β€’ Gastric alkalosis:
: Differential Diagnosis ... volume contracted: urine ... other β€’ Severe potassium ... #Differential # ... Diagnosis #Causes #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... β€’ Diarrhea A urine ... - Metabolic Alkalosis ... diagnosis #Algorithm #differential ... #potassium #nephrology
Hyponatremia Differential Diagnosis Algorithm in Cancer
UOsm β‰₯ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Hyponatremia Differential ... Diagnosis Algorithm in Cancer ... 100 mOsm/kg = Urine ... #Differential # ... #algorithm #nephrology
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 β€’ 6-20% of patients with psychiatric disorders - Most commonly
β€’ Symptomatic hyponatremia ... with symptomatic hyponatremia ... hypothalamic thirst center ... diabetes insipidus Differential ... diagnosis #management #nephrology