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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Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
or alkalotic than ... Ketoacidosis, Renal ... loss of bicarb, Renal ... GI loss of H+, Renal ... Disorders #Evaluation #workup
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Differential Algorithm Acidosis ... Metabolic alkalosis ... Renal artery stenosis ... Diagnosis #Causes #Workup ... #Nephrology
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
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
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
↑ ↓ Resp Alkalosis ... salicylates) R Renal ... - Diarrhea - Renal ... /Chronic renal failure ... Diagnosis #Summary #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
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Workup for Hyperphosphatemia ... Shift: β€’ Lactic acidosis ... CKD Increased Renal ... Diagnosis #Framework #Workup ... #phosphate #nephrology
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
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
urinary sediment, renal ... renal biopsy β€’ ... eosinophiluria, renal ... protein-electrophoresis, renal ... markers β€’ Cardio-renal
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