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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Renal Tubular Disorders

 β€’ Distal Renal Tubular Acidosis (Type 1)
 β€’ Proximal Renal Tubular Acidosis (Type
Renal Tubular Disorders ... β€’ Distal Renal ... ) β€’ Proximal Renal ... β€’ Hyperkalemic Renal ... pathophysiology #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Algorithm Extra-renal ... β€’ Metabolic acidosis ... loss (Diarrhea) Renal ... Algorithm #causes #potassium ... #low #nephrology
Renal Tubular Acidosis - Diagnosis Algorithm
 β€’ Hyperkalemic Type 4 RTA
 β€’ Hypokalemic Type 1 RTA
Renal Tubular Acidosis ... RTA β€’ RTA of renal ... Type 2 RTA #RTA #Renal ... #Tubular #Acidosis ... Diagnosis #Algorithm #nephrology
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 β€’ Acute renal failure
 β€’ Chronic renal failure
 β€’ Drugs
Increased
algorithm Decreased renal ... β€’ Acute renal ... failure β€’ Chronic renal ... high: β€’ Post-renal ... Diagnosis #algorithm #nephrology
Renal Tubular Acidosis (RTA) Diagnosis and Management
 β€’ Distal (type 1) RTA
 β€’ Proximal (type 2)
Renal Tubular Acidosis ... 4) RTA #rta #Renal ... #Tubular #Acidosis ... Diagnosis #Management #nephrology
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
3.5 - Severe renal ... Enteral potassium ... monitoring depend on renal ... monitoring depend on renal ... Hypokalemia #Management #CriticalCare
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
Renal Tubular Acidosis ... = Hyperkalemic Renal ... Tubular Acidosis ... uncimchiefs #RTA #Renal ... Diagnosis #Algorithm #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
gastrointestinal K loss β€’ Renal ... hypokalemia β€’ Renal ... tubular acidosis ... algorithm #causes #nephrology ... #potassium
Toluene Poisoning - Diagnosis and Management Summary
What is it?  Volatile hydrocarbon, Glue or paint-sniffing, Occupational
effects (inc psych) Renal ... Early raised AG acidosis ... normal anion gap acidosis ... , ↓K+ Renal - chronic ... environment β€’ Potassium
Proximal Renal Tubular Acidosis (RTA) Ttype 2 Overview

HCO3 reabsorptive failure
Lowering of threshold for HCO3 absorption in
Proximal Renal Tubular ... Acidosis (RTA) ... #RenalTubular #Acidosis ... Diagnosis #Management #Nephrology