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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diagnosis nephrology management rta algorithm differential tubular hypokalemia low causes hyperkalemia pathophysiology poisoning renaltubular table toluene toxicology type4 types
Renal Tubular Disorders • Distal Renal Tubular Acidosis (Type 1) • Proximal Renal Tubular Acidosis (Type
Renal Tubular Disorders ... • Distal Renal ... ) • Proximal Renal ... (Type 2) • Hyperkalemic ... Renal Tubular Acidosis
Renal Tubular Acidosis (RTA) Diagnosis and Management • Distal (type 1) RTA • Proximal (type 2)
Renal Tubular Acidosis ... Management • Distal ... type 2) RTA • Hyperkalemic ... 4) RTA #rta #Renal ... Diagnosis #Management #nephrology
Renal Tubular Acidosis - Differential Diagnosis Algorithm Decreased Serum K, Urine pH < 5.5 - Proximal RTA Decreased
Renal Tubular Acidosis ... distal RTA Increased ... Serum K = Hyperkalemic ... Renal Tubular Acidosis ... uncimchiefs #RTA #Renal
Hyperkalemic Distal Renal Tubular Acidosis (RTA) Type 4 - Failure to acidify urine in collecting duct
Hyperkalemic Distal ... Renal Tubular Acidosis ... #RTA #Type4 #Distal ... #Hyperkalemic # ... Diagnosis #Management #Nephrology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Algorithm Extra-renal ... loss (Diarrhea) Renal ... : Proximal and distal ... Algorithm #causes #potassium ... #low #nephrology
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... Fluids Shift potassium ... (if preserved renal ... LouLectures #Hyperkalemia ... #nephrology
Toluene Poisoning - Diagnosis and Management Summary What is it? Volatile hydrocarbon, Glue or paint-sniffing, Occupational
effects (inc psych) Renal ... Early raised AG acidosis ... , ↓K+ Renal - chronic ... paralysis • Distal-RTA ... environment • Potassium
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... suggests extra-renal ... - Metabolic acidosis ... Proximal RTA, Distal ... #nephrology #low
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