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A Case of Gitelman's Syndrome
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A Case of Gitelman's Syndrome
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- Prof. Dr.
Maheshkumar ‘s Unit Dr. Israel
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ECG
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Hypokalemia Urinary K
+ excretion < 15 mmol/d Assess acid-base status Metabolic acidosis Metabolic alkalosis Lower gastronitestinal K + loss Remote diuretic use Remote vomiting K + loss via sweat > 15 mmol/d Assess K + secretion TTKG > 4 TTKG < 2 Acid-base status Na + -wasting nephropathy Osmotic diuretic Diuretic Metabolic acidosis Diabetic ketoacidosis Proximal (type 2) RTA Distal (type 1) RTA Amphotericin B Metabolic alkalosis Hypertension ? Yes Mineralocorticoid excess Liddle’s syndrome No Vomiting Bartter’s syndrome Exclude diuretic abuse Hypomagnesemia
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Extra-renal losses of
potassium:
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