Hipokalemia

DR GERKLOS BAST ALMONACID RESIDENTE DE NEFROLOGIA HOSPITAL FELIX TORREALVA ICA -2010

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HISTORIA DE LA ENFERMEDAD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HISTORIA DE LA ENFERMEDAD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DROGAS QUE MOVILIZAN K AL IC ( BMJ 1997 Mar 8;314(7082):731 Mayo Clin Proc 2003 Jun;78(6):767 Lancet 2009 Mar 28;373(9669):1144 )

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PERDIDAS RENALES ,[object Object],[object Object],[object Object],[object Object],[object Object]

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HIPERALDOSTERONISMO ,[object Object],[object Object],Harrison's. PRINCIPLES OF INTERNAL MEDICINE 2008

Flow chart for evaluating a patient with suspected primary hyperaldosteronism. (From Andreoli TE [ed]: Cecil essentials of medicine, ed 7, Philadelphia, 2008, WB Saunders.)

ANGIOTENSINA RENINA Kronenberg: Williams Textbook of Endocrinology, 11th ed. 2008 Components of the renin-angiotensin system. (Adapted and redrawn from Williams GH, Chao J, Chao L. Kidney hormones. In Conn PM, Melmed S, eds. Endocrinology: Basic and Clinical Principles. Totowa, NJ: Humana Press, 1997:393-404.) EPI, epinephrine; NE, nor epinephrine.

ALDOSTERONA Figure 15-8 Renin-angiotensin-aldosterone and potassium-aldosterone negative feedback loops. Aldosterone production is determined by input from each loop. ACE , Angiotensin-converting en-zyme; Na + , sodium. (Adapted and redrawn from Williams GH, Dluhy RG. Diseases of the adrenal cortex. In Braunwald E, Fauci AD, Kasper D, et al, eds. Harrison's Principles of Internal Medicine, 15th ed. New York: McGraw-Hill, 2001:2087.) Kronenberg: Williams Textbook of Endocrinology, 11th ed. 2008

HIPERALDOSTERONISMO SECUNDARIO ,[object Object],[object Object],[object Object],Kronenberg: Williams Textbook of Endocrinology, 11th ed. 2008

[object Object],[object Object],[object Object],Endocrinology, 11th ed. 2008 MANIFESTACIONES El Hiperaldosteronismo secundario

SÍNDROME DE BARTTER: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Kronenberg: Williams Textbook of Endocrinology, 11th ed. 2008

CLINICA Kronenberg: Williams Textbook of Endocrinology, 11th ed. 2008

Pocket Medicine 3rd_Edition. 2009

PPHK ,[object Object],[object Object],Brain 2006 Jan;129(Pt 1):8-17.

TIPOS ,[object Object],Brain 2006 Jan;129(Pt 1):8-17.

EPIDEMIOLOGIA ,[object Object],[object Object],Intern Med. 2004 Mar; 43 (3): 218

EPIDEMIOLOGIA ,[object Object],PubMed Clinical Queries for "periodic paralysis "MEDLINE 2008 Aug 19

CAUSAS Y FACTORES DE RIESGO ,[object Object],[object Object],[object Object],PubMed Clinical Queries for "periodic paralysis "MEDLINE 2008 Aug 19

FISIOPATOLOGIA ,[object Object],[object Object],Acta Neurol Scand. 2008 Mar;117(3):145-58.

CAUSAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Acta Neurol Scand. 2008 Mar;117(3):145-58.

COMPLICACIONES ,[object Object],[object Object],[object Object],[object Object],[object Object],Brain 1990 Dec; 113 (Pt 6): 1873) Neurology 2004 Nov 9; 63 (9): 1647

DIAGNÓSTICO ,[object Object],[object Object],[object Object],[object Object]

DIAGNÓSTICO ,[object Object],[object Object],[object Object],[object Object],[object Object]

DIAGNÓSTICOS DIFERENCIALES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Neurotherapeutics 2007 Apr;4(2):225 J Transl Med 2008 Apr 21;6(1):18 Curr Neurol Neurosci Rep 2002 Jan;2(1):61

PRUEBAS A CONSIDERAR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ESTRATEGIAS DE PREVENCION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],J Neurol Neurosurg Psychiatry 2008 Sep 51(9) Intern Med. 2002 Sep; 41 (9): 743 J Med Sci Corea 2005 Feb; 20 (1): 162 Clin Sci (Lond) 2006 Nov; 91 (5): 583

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Hipokalemia

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