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 Acidosis (RTA) Diagnosis and Management
 β€’ Distal (type 1) RTA
 β€’ Proximal (type 2)
Renal Tubular Acidosis ... β€’ Distal (type ... 4) RTA #rta #Renal ... #Tubular #Acidosis ... #nephrology #table
Toluene Poisoning - Diagnosis and Management Summary
What is it?  Volatile hydrocarbon, Glue or paint-sniffing, Occupational
effects (inc psych) Renal ... , ↓K+ Renal - chronic ... paralysis β€’ Distal-RTA ... environment β€’ Potassium ... #Treatment
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Algorithm Extra-renal ... loss (Diarrhea) Renal ... : Proximal and distal ... Algorithm #causes #potassium ... #low #nephrology
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... Acidosis (RTA) ... #Diagnosis #Management ... #Nephrology #Causes ... #RenalTubular #Acidosis
Hyperkalemic Distal Renal Tubular Acidosis (RTA) Type 4 - 

Failure to acidify urine in collecting duct
Hyperkalemic Distal ... Renal Tubular Acidosis ... Hyperkalemic #Diagnosis #Management ... #Nephrology #RenalTubular ... #Acidosis
Proximal Renal Tubular Acidosis (RTA) Ttype 2 Overview

HCO3 reabsorptive failure
Lowering of threshold for HCO3 absorption in
Proximal Renal Tubular ... Acidosis (RTA) ... proximal tubule Distal ... Proximal #Diagnosis #Management ... #Nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 β€’ IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 β€’ IV Fluids
Shift
Hyperkalemia Treatment ... Fluids Shift potassium ... (if preserved renal ... #Hyperkalemia #management ... #potassium #nephrology
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