High K, Y?
very worrying' heart is attacked first and potential LETHAL arrythmia, so take ECG n act!! before K killS
everything islong, T peak, long PR, wide QRS, flat P , DEAD
Trans tubular potassium gradient = K urine/k PLASMA X oS pLAMa /urine plasma
trial of ffludrocortisone suggests lack of aldosterone
K kills easly if cAncer, b/c already uric acid demaged renal, so no EXCRETION, calculate UO, PLEASE,
Low Ca, Y?
Saline bolus ; depress sodium reabsorption from kidney as it is parallel with calcium reabsorbtion, B careful,
lasix in premies - nephrocalcinosis,
prems r asymptomatic for low Ca sincethey have low albumin and r aciidotic
if prolonged unexplained check mothers calcium and PTH
if a child with susprcted DiGeorge (check thymus from X ray )ask for NEONATAL period hypocalcemiaand chest X ray
, b/cit is trasient!!!
another sysmorphic in consanguinious marriage is Autosomal dominent HypoPTH,
HDR= hypo PTH, nervedeafness, renal dyplasia
Kearns Sayre syndrome - Inside and out side eye in a young guy
low Mg cause low release of PTH as well as target organ response
mulyi/poly cystickidney? difference?
multi is unilateral non functioning cycts , not inherited and hyper echoic , if BL U DIE
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