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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High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
Acidosis (HAGMA ... ketoacidosis Renal ... acids in advanced renal ... #Acidosis #HAGMA ... GOLDMARK #mnemonic #nephrology
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
β€’ Anion Gap Metabolic ... , Renal Failure, ... of bicarb, Renal ... GI loss of H+, Renal ... Disorders #Evaluation #workup
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 ... Low intake β€’ Metabolic ... acidosis: Gl tract ... loss (Diarrhea) Renal ... acidosis: Proximal
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Metabolic acidosis ... salicylates) R Renal ... - Renal tubular ... renal failure ... Diagnosis #Summary #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
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 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
Renal tubular acidosis (RTA): refers to a group of conditions all of which cause the same
Renal tubular acidosis ... end result: a metabolic ... acidosis that has
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