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 differential algorithm toxicology pharmacology rta causes hypokalemia potassium tubular clinical kidney metabolic renaltubular syndrome workup colchicine crrt
Renal Tubular Disorders • Distal Renal Tubular Acidosis (Type 1) • Proximal Renal Tubular Acidosis (Type
Renal Tubular Disorders ... • Distal Renal ... ) • Proximal Renal ... • Hyperkalemic Renal ... pathophysiology #nephrology
Renal Tubular Acidosis - Diagnosis Algorithm • Hyperkalemic Type 4 RTA • Hypokalemic Type 1 RTA
Renal Tubular Acidosis ... RTA • RTA of renal ... Type 2 RTA #RTA #Renal ... #Tubular #Acidosis ... Diagnosis #Algorithm #nephrology
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK Glycols - ethylene and propylene glycol Oxoproline
Gap Metabolic Acidosis ... Aspirin - salicylate toxicity ... ketoacidosis Renal ... acids in advanced renal ... GOLDMARK #mnemonic #nephrology
Renal Tubular Acidosis (RTA) Diagnosis and Management • Distal (type 1) RTA • Proximal (type 2)
Renal Tubular Acidosis ... 4) RTA #rta #Renal ... #Tubular #Acidosis ... Diagnosis #Management #nephrology
Toluene Poisoning - Diagnosis and Management Summary What is it? Volatile hydrocarbon, Glue or paint-sniffing, Occupational
lipid-soluble, Toxicity ... effects (inc psych) Renal ... Early raised AG acidosis ... normal anion gap acidosis ... , ↓K+ Renal - chronic
Colchicine Toxicity Naturally-occurring plant alkaloid [Autumn Crocus and Glory Lilly] 2-24 hrs • Severe GI distress
Colchicine Toxicity ... Rhabdomyolysis • Renal ... • Metabolic acidosis ... #Colchicine #Toxicity
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
Hyperkalemia - Differential Diagnosis - Impaired Excretion vs Redistribution Impaired Urinary Excretion - Renal failure -
Excretion - Renal ... Succinylcholine - Digoxin toxicity ... deficiency - Acidosis
Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
laxatives, Vitamin D toxicity ... Shift: • Lactic acidosis ... CKD Increased Renal ... Workup #phosphate #nephrology
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
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