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RENAL TUBULAR ACIDOSIS (1 (PATIENT (VERY ALKALIC URINE (PH MORE 5.5),…
RENAL TUBULAR ACIDOSIS
1
CAUSE
AI DZ
AMPHOTERCIN B
PATIENT
PERSISTANT KIDNEY STONES
RICKETS AND POOR GROWTH
VERY ALKALIC URINE
PH MORE 5.5
HYPOKALEMIA
SJORGEN SYNDROME (AI)
UAG IS POSITIVE
PATHO
DISTAL T
CANT SECRETE H+
TX
SODIUM BICARBONATE
2
PATHO
PCT
NO HCO3 REABS
PATIENT
HAS MILD HC3 DEACRESED
20
ACIDIC URINE
LESS 5.5
ASX
ROUTINE BLOOD WORK
CAUSE
FANCONI SYNDROME
PCT FX
MM
LIGHT CHAIN IS TOXIC TU TUBULE
ACETOZOLAMIDE
CA INHIBITOR
TX
SODIUM BICARBONATE
4
CAUSE
DM
RAAS DRUGS
K SPARING DRUGS
PATHO
LOW RENIN
LOW ALDOSTERONE
DISTAL
LOW AMMONIUM
HIGH K!!!
PTX
DM PATIENT
RENAL INSUFF.
HYPERKALEMIA
TX
FLUDROCORTISONE
METABOLIC ACIDOSIS
NON ANION GAP